{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:26:33Z","timestamp":1790900793915,"version":"4.1.0"},"reference-count":15,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,1]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>A woman in her 40s attended the hospital with worsening left upper abdominal dull aching pain for the past 6\u2009months. Clinical examination and radiological investigations with ultrasonography and contrast-enhanced CT of the abdomen confirmed it to be a cystic lesion of the left adrenal of size 13 cm \u00d7 12\u2009cm \u00d7 11\u2009cm. With the possibility of an incidental malignancy due to large size, laparoscopic cyst excision meticulously without spillage of cyst content was possible due to preoperative planning. It was a difficult task to mobilise the cyst intact due to the thin wall to prevent accidental rupture and gross spillage of the cyst contents. The cyst wall sent for histopathological examination confirmed it to be an adrenal pseudocyst without any malignant focus. Adrenal pseudocysts are rare and mostly benign. However, the index of suspecting a malignancy should be high in large cysts, and meticulous dissection is warranted.<\/jats:p>","DOI":"10.1136\/bcr-2022-251114","type":"journal-article","created":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T10:30:12Z","timestamp":1670841012000},"page":"e251114","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic excision of a large adrenal pseudocyst: diagnostic dilemma and technical challenges"],"prefix":"10.1136","volume":"15","author":[{"given":"Ankit","family":"Shettar","sequence":"first","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6785-0101","authenticated-orcid":false,"given":"Prakash Kumar","family":"Sasmal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manas","family":"Chalamalasetty Venkata Sai","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-5514","authenticated-orcid":false,"given":"Pankaj","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"2025082800070773000_15.12.e251114.1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1966.01320190133032"},{"key":"2025082800070773000_15.12.e251114.2","doi-asserted-by":"crossref","first-page":"2923","DOI":"10.3748\/wjg.15.2923","article-title":"Laparoscopic resection of an adrenal pseudocyst mimicking a retroperitoneal mucinous cystic neoplasm","volume":"15","author":"Kim","year":"2009","journal-title":"World J Gastroenterol"},{"key":"2025082800070773000_15.12.e251114.3","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20555"},{"key":"2025082800070773000_15.12.e251114.4","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-005-3422-z"},{"key":"2025082800070773000_15.12.e251114.5","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.16.478"},{"key":"2025082800070773000_15.12.e251114.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(98)00277-5"},{"key":"2025082800070773000_15.12.e251114.7","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20555"},{"key":"2025082800070773000_15.12.e251114.8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr.05.2011.4169","article-title":"Giant adrenal pseudocyst harbouring adrenocortical cancer","volume":"2011","author":"Wilkinson","year":"2011","journal-title":"BMJ Case Rep"},{"key":"2025082800070773000_15.12.e251114.9","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1159\/000346754","article-title":"A giant adrenal pseudocyst mimicking an adrenal cancer: case report and review of the literature","volume":"91","author":"Passoni","year":"2013","journal-title":"Urol Int"},{"key":"2025082800070773000_15.12.e251114.10","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/S0022-5347(17)63659-0","article-title":"Calcified simple parenchymal cyst of the adrenal gland","volume":"94","author":"Foroughi","year":"1965","journal-title":"J Urol"},{"key":"2025082800070773000_15.12.e251114.11","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0829-2"},{"key":"2025082800070773000_15.12.e251114.12","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/j.ijscr.2011.10.002","article-title":"Adrenal pseudocyst: Diagnosis and laparoscopic management - A case report","volume":"2","author":"Ujam","year":"2011","journal-title":"Int J Surg Case Rep"},{"key":"2025082800070773000_15.12.e251114.13","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-009-0080-1"},{"key":"2025082800070773000_15.12.e251114.14","doi-asserted-by":"crossref","first-page":"39","DOI":"10.2174\/1874300500802010039","article-title":"Giant adrenal pseudocyst treated laparoscopically; 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