Adrenal pseudocyst as a cause of postpartum abdominal pain

Among adrenal masses only 0.06% to 0.18% are cysts and amongthem, pseudocysts are the second (39%) most common lesions.Due to the increased use of imaging studies their incidence seemsto have increased. Most of these lesions are incidentally found duringradiologic investigation or at the time of autopsy, and only rarely theyare detected in pregnant women. The latter scenario warrants emergencysurgery, due to the risk of rupture.We present a case of a 39-years old woman presenting with unrelentingleft flank pain due to a large adrenal psuedocyst soon afterher first delivery.Four months after, she presented to our surgical division for persistentpain and anemia so underwent an extensive work up that showeda large pseudocystic mass (8 x 8 cm ) of the left adrenal gland.Once the neoplastic and parasitic etiology of the lesion wereexcluded, she underwent uneventful laparoscopic adrenalectomy.She was discharged home three days postoperatively. This case is the13th case in the English literature and at the same time is the first caseof adrenal pesudocyst occurred four months after delivery.