Isolated hydatid cyst of adrenal gland with hypertension mimicking Conn's syndrome: a very rare case

Chaudhary, Tarun; Agrawal, Shikhar; Biswas, Manoj; Sarpal, Rajeev; Shirazi, Nadia

doi:10.18203/2320-6012.ijrms20162010

Cited by 1 publication

(4 citation statements)

References 7 publications

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“…Adrenal glands are one of the organs that are most rarely involved by hydatid cyst disease even in regions where the disease is endemic. AHC disease constitutes for less than 1% of all hydatid cyst cases [ 4 – 12 ]. The disease usually occurs secondary to disseminated hydatid disease [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Isolated AHC disease is relatively rare, with only a limited number of cases being reported in the literature [ 9 , 10 ]. As is the case for other hydatid cysts involving other organs, AHC is usually asymptomatic, usually being detected incidentally in radiological studies performed for other indications [ 4 , 9 , 12 ]. AHCD rarely becomes symptomatic, with most symptoms being related to the interaction of a cyst with adjacent organs and tissues (e.g., compression and inflammation) [ 3 , 4 , 9 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The most serious complications associated with the AHC disease is cyst rupture leading to anaphylaxis and hemorrhage [ 1 ]. Arterial hypertension named as the Goldblatt phenomenon may develop as a result of external compression of a renal artery or irritation of functional gland parenchyma by large cysts [ 2 , 4 , 9 , 12 ]. Signs and symptoms such as headache, palpitations, and hypertension resembling a pheochromocytoma may also be seen as a result of compression of adrenal medulla by cysts that grow into the adrenal gland [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors advocate that AHCs usually reach a large size, destroying the adrenal gland during their growth. Hence, they recommend en bloc resection of the adrenal gland together with the cyst [ 4 , 6 , 11 , 12 ]. Some authors suggest that it is usually impossible to reach a surgical plane between the cyst wall and gland parenchyma, and one of the options of en block resection or gland-preserving partial cystectomy should be attempted whenever pericystectomy is not feasible [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Hydatid Cyst of the Adrenal Gland: Is Radical Surgery Necessary for Recurrent Hydatid Disease?

Akbulut

Yılmaz

2018

Case Reports in Surgery

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Hydatid cyst disease caused by E. granulosus is a zoonotic disease that may involve many body tissues and organs, mainly liver. Adrenal glands are rarely involved even in regions where hydatid cyst disease is endemic. A limited number of studies have been reported on adrenal gland involvement by hydatid cyst disease. Herein, we aimed to report a recurrent case of adrenal hydatid cyst that was misdiagnosed as a hepatic hydatid cyst. A 16-year-old boy with a history of partial cyst excision and evacuation for perforated adrenal hydatid cyst disease three years ago presented to our outpatient clinic with nonspecific abdominal pain. Ultrasonography and computed tomography showed a lesion with an approximate size of 70 × 70 mm compatible with a hydatid cyst, which originated from the segment 5-6 of the liver and extended to the posterior-inferior direction. A surgical intervention was scheduled after a 2-week prophylactic albendazole treatment. During laparotomy using the old incision, it was noted that the cystic lesion that reportedly located in liver was actually a recurrent right adrenal cyst. As dense adhesions existed, the cystic lesion was excised en bloc with the right adrenal gland. As the lesion was totally removed without getting ruptured, albendazole was not administered at the postoperative period. No recurrence was observed at one-year follow-up.

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