After reviewing literature regarding adrenal cysts, which are uncommon, often found accidentally and difficult to diagnose not least because of aspecific symptoms, the Authors report a case of giant right adrenal cysts which caused contra lateral displacement and morpho-functionally seriously compromised the right kidney. Treatment was successful by median laparotomic approach. Recent clinico-pathologic and immunohistochemical knowledge about endothelial type cysts and hemorrhagic pseudocysts help define the nosographic picture. Certain etiopathogenetic aspects are underlined, which lead back to a common vascular origin.
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