We report on a 64-year-old patient with a huge adrenal pseudocyst, The
se are rare cystic lesions of the adrenal gland with an unclear etiolo
gy, Recent studies suggest that the majority of adrenal pseudocysts ar
e of vascular origin, All cystic masses in the epigastric region have
to be considered in the differential diagnosis. The treatment of choic
e is surgical removal.