Primary hydatid cyst in the adrenal gland

Abstract

SUMMARYAn elderly man presented with a 2-year history of refractory hypertension. His medical history, physical examination and laboratory findings were unremarkable. On subsequent ultrasound study for the evaluation of renal artery stenosis, a large mass obliterating the adrenal gland containing internal cystic structures was identified. A CT study confirmed the diagnosis of primary adrenal gland hydatid cyst. Following surgical resection, the patient's hypertension resolved and medications to control blood pressure were discontinued. BACKGROUND

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

“…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 ]. Isolated AHC disease is relatively rare, with only a limited number of cases being reported in the literature [ 9 , 10 ].…”

“…The disease usually occurs secondary to disseminated hydatid disease [ 10 , 11 ]. 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 ].…”

“…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 ]. To our opinion, irrespective of the surgical method used, an adrenal gland-preserving resection (pericystectomy and partial cystectomy) should be primarily attempted for this benign disease.…”