{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T07:27:41Z","timestamp":1767598061958,"version":"3.44.0"},"reference-count":34,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,2,10]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>The incidence of adrenal cysts is 0.06% and only 9% of these are true mesothelial cysts. Here, we present a case of a true mesothelial cyst together with a review of the literature. A female in her 30s presented to the surgical outpatient department complaining of right flank pain. Her contrast-enhanced CT scan revealed a 7.5\u00d76.5\u00d74.5\u2009cm right adrenal gland cyst. The patient underwent a laparoscopic right adrenalectomy. Immunohistopathology revealed the cyst to be mesothelial in nature. The majority of true mesothelial adrenal cysts are benign, unilateral and more common in women. Any adrenal cyst diagnosed as a functional lesion or one that may be malignant or with a diameter of 5\u2009cm or greater requires surgical care whereas smaller lesions can be managed conservatively. Laparoscopic adrenalectomy for an adrenal cyst of diameter greater than 6\u2009cm is a safe and feasible procedure in expert hands if there is no invasion of surrounding tissue.<\/jats:p>","DOI":"10.1136\/bcr-2023-258485","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T11:50:55Z","timestamp":1708689055000},"page":"e258485","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["True mesothelial cyst of the adrenal gland: its clinical profile and management"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5061-0902","authenticated-orcid":false,"given":"Vikram","family":"Saini","sequence":"first","affiliation":[{"name":"Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richa","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamal","family":"Kataria","sequence":"additional","affiliation":[{"name":"Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thirugnanasambandam","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,2,23]]},"reference":[{"key":"2025082709063259000_17.2.e258485.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.2478.1558"},{"key":"2025082709063259000_17.2.e258485.2","first-page":"758","article-title":"Adrenal cysts","volume":"27","author":"Wahl","year":"1951","journal-title":"Am J Pathol"},{"key":"2025082709063259000_17.2.e258485.3","first-page":"53","article-title":"Cystic lesions of the adrenal glands","volume":"66","author":"Hodges","year":"1958","journal-title":"AMA Arch Pathol"},{"key":"2025082709063259000_17.2.e258485.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.humpath.2013.02.002"},{"key":"2025082709063259000_17.2.e258485.5","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1530\/EJE-22-0285","article-title":"Clinical course and imaging characteristics of benign adrenal cysts: a single-center study of 92 patients","volume":"187","author":"Dogra","year":"2022","journal-title":"Eur J Endocrinol"},{"key":"2025082709063259000_17.2.e258485.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(61)80244-8"},{"key":"2025082709063259000_17.2.e258485.7","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1966.01320190133032"},{"key":"2025082709063259000_17.2.e258485.8","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1177\/000313489906500213","article-title":"Management of adrenal cysts","volume":"65","author":"Neri","year":"1999","journal-title":"Am Surg"},{"key":"2025082709063259000_17.2.e258485.9","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20555"},{"key":"2025082709063259000_17.2.e258485.10","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/S0022-5347(17)66099-3","article-title":"Adrenal cysts: review of the literature and report of three cases","volume":"81","author":"Abeshouse","year":"1959","journal-title":"J Urol"},{"key":"2025082709063259000_17.2.e258485.11","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/0046-8177(89)90017-8","article-title":"Epithelial-lined (true) cyst of the adrenal gland: a case report","volume":"20","author":"Medeiros","year":"1989","journal-title":"Hum Pathol"},{"key":"2025082709063259000_17.2.e258485.12","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1111\/j.1440-1827.1995.tb03436.x","article-title":"Mesothelial cyst of the adrenal gland","volume":"45","author":"Fukushima","year":"1995","journal-title":"Pathol Int"},{"key":"2025082709063259000_17.2.e258485.13","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s12022-008-9026-2","article-title":"True adrenal mesothelial cyst in a patient with flank pain and hematuria: a case report","volume":"19","author":"Suh","year":"2008","journal-title":"Endocr Pathol"},{"key":"2025082709063259000_17.2.e258485.14","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1111\/his.12088","article-title":"Intra-adrenal bile ductules associated with adreno-hepatic fusion: a possible origin for adrenal epithelial cysts","volume":"62","author":"Matsukuma","year":"2013","journal-title":"Histopathology"},{"key":"2025082709063259000_17.2.e258485.15","first-page":"1010","article-title":"Adrenal cyst with an immunohistochemical evidence of mesothelial origin. 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