Bronchogenic cysts are generally found in the mediastinum, particularly pos
terior to the carina, but they rarely occur in such unusual sites as the sk
in, subcutaneous tissue, pericardium, and even the retroperitoneum. A 30-ye
ar-old Korean man underwent surgery to remove a cystic adrenal mass inciden
tally discovered during routine physical checkup. At surgery, it proved to
be a multilocular cyst located in the retroperitoneum adjacent to the left
adrenal gland. Microscopically, the cyst was lined by respiratory epitheliu
m over connective tissue with submucous glands, cartilage and smooth muscle
, thereby histologically confirming bronchogenic cyst. This is the first re
ported case of retroperitoneal bronchogenic cyst in an adult without other
congenital anomalies in Korea.