Mesothelial cyst of the adrenal gland

We report a case of a mesothelial adrenal cyst which was incidentally disco vered in a 38-year old woman. The diagnosis was confirmed by an immunohisto chemistry study. Adrenal cysts are rare. They occur more commonly in female patients during the 4th and 5th decades and are usually asymptomatic. Adre nal cysts are divided into four groups : parasitic, epithelial, endothelial cysts and pseudocysts. The management is still discussed : follow-up, surg ical resection or fine-needle aspiration.