case_images: PMC11179502_01
case_images: Non-contrast-enhanced abdominal computerized tomography scan images (a: axial, b: coronal, and c: sagittal), and enhanced images (d: axial, Figure e: sagittal, and Figure f: coronal), revealing a large well-limited cystic, homogeneous mass of the left adrenal gland (orange arrow), with regular contours, containing some linear parietal calcifications (green arrow), not septated, not enhanced after injection of contrast agent, without any rupture or intracystic hemorrhage. The mass measured 4.7 x 4.8 x 5.6 cm in cranio-caudal, anteroposterior, and transverse dimensions and was abutting various parts of the gastrointestinal tract and the kidney.. Note. Left pyelic coral calculus responsible for pyelocalyceal dilation (blue arrow).
case_images: 10.1177_2050313X241261510-fig1.jpg
case_images: PMC11179502_01_10.1177_2050313X241261510-fig1.jpg
case_images: fig1-2050313X241261510
case_images: A CT scan of the abdomen was performed (Figure 1), which revealed a left pyelic coral calculus responsible for pelvicalyceal dilation associated with a large well-defined round to oval, hypodense lesion with a hyperdense non-enhancing thin-walled cystic lesion in the suprarenal region on the left side, located between the stomach and spleen, leading to significant mass effect to adjacent viscera, without any rupture or intracystic hemorrhage.
case_images: Adrenal endothelial cyst with a delicate lining of endothelial cells (Cut section of the specimen (a), H & E, low (b), and high (c) power).
case_images: 10.1177_2050313X241261510-fig2.jpg
case_images: PMC11179502_01_10.1177_2050313X241261510-fig2.jpg
case_images: fig2-2050313X241261510
case_images: Microscopic examination revealed an endothelial cyst with a fibrocollagenous wall lined with flattened cells, with remnants of tissue adrenocortical tissue, which was normal without any evidence of malignancy (Figure 2).