Published: 2017-01-03

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

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


Hydatid cyst of the adrenal gland is one of the rare conditions caused by the larval stage of Echinococcus granulosus. The incidence of adrenal gland involvement is less than 1% of all hydatid disease in humans and isolated adrenal involvement is extremely rare. Hydatid disease is frequent in endemic regions and sheep farming areas with equal sex distribution. Here, a case of 23 year old female with isolated adrenal gland hydatid cyst is presented, that was evaluated clinically, investigated radiographicaly and by blood investigations and finally histopathology confirmed the diagnosis. No complications occurred at peri and postoperative period. The patient was given 6 cycles of albendazole (10 mg/kg in two divided doses), each for a period of four weeks followed by a week’s rest. The patient is on regular follow-up without recurrence in last 1 year.


Hydatid cyst, Adrenalectomy, Laparoscopy

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Lewall DB. Hydatid disease: biology, pathology, imaging and classification. Clinical radiology. 1998;53(12):863-74.

Dionigi G, Carrafiello G, Recaldini C, Sessa F, Boni L, Rovera F, Dionigi R. Laparoscopic resection of a primary hydatid cyst of the adrenal gland: a case report. J Med Case Reports. 2007;1(61):17683613.

Yuksel M, Demirpolat G, Sever A, Bakaris S, Bulbuloglu E, Elmas N. Hydatid disease involving some rare locations in the body: a pictorial essay. Korean Journal of Radiology. 2007;8(6):531-40.

Akay MM, Akay MG, Balik MA, Byk MA. Hydatid Cysts of the Adrenal Gland: Review of Nine Patients. World Journal of Surgery. 2004;1(28):97-9.

Goel MC, Agarwal MR, Misra A. Percutaneous drainage of renal hydatid cyst: early Results and follow‐up. British journal of urology. 1995;75(6):724-8.

Nouira Y, Benyounes A, Kbaier I, Attyaoui F, Horchani A. Adrenal hydatid cyst presenting as a pheochromocytoma. BJU Int. 2000;86(6):754.

Horchani A, Nouira Y, Nouira K, Bedioui H, Menif E, Safta ZB. Hydatid cyst of the adrenal gland: a clinical study of six cases. The Scientific World Journal. 2006;6:2420-5.

Escudero MD, Sabater L, Calvete J, Camps B, Labios M, Lledo S. Arterial hypertension due to primary adrenal hydatid cyst. Surgery. 2002;132(5):894-5.

Yeniyol CO, Minareci S, Ayder AR. Primary cyst hydatid of adrenal: a case report. International urology and nephrology. 2000;32(2):227-9.

Abdulmajed M, Resorlu B, Kara C, Turkolmez K. Isolated primary hydatidcyst of adrenal gland: A case report. Turkish Journal of Urology. 2010 Jun 1;36(2):211-5.

Safioleas MC, Moulakakis KG, Manti C, Kostakis A. Coexistence of primary adrenal hydatid cyst and arterial hypertension: report of a case and review of the literature. Acta chirurgica Belgica. 2006;106(6):719-21.

Saimot AG. Medical treatment of liver hydatidosis. World journal of surgery. 2001;25(1):15-20.

WHO Informal Working Group. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta tropica. 2003;85(2):253-61.

Gurbuz R, Guven S, Kilinc M, Abasiyanik F, Gokce G, Piskin MM. Primary hydatid cyst in adrenal gland: A case report. International urology and nephrology. 2005;37(1):21-3.

Defechereux T, Sauvant J, Gramatica L, Puccini M, De Micco C, Henry JF. Laparoscopic resection of an adrenal hydatid cyst. Eur J Surg. 2000;166:900-2.