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. 2016 Nov 19;11(1):413-417.
doi: 10.1515/med-2016-0075. eCollection 2016.

Uncommon primary hydatid cyst occupying the adrenal gland space, treated with laparoscopic surgical approach in an old patient

Giovanni Aprea  1 , Sergio Aloia  1 , Gennaro Quarto  1 , Ermenegildo Furino  1 , Maurizio Amato  1 , Tommaso Bianco  1 , Lorenza Di Domenico  1 , Aldo Rocca  2 , Simone Maurea  3 , Luigi Sivero  1
Affiliations

Uncommon primary hydatid cyst occupying the adrenal gland space, treated with laparoscopic surgical approach in an old patient

Giovanni Aprea et al. Open Med (Wars). .

Abstract

Hydatid disease (HD) is caused by Echinococcus Granulosus (EG), which is a larva endemic in many undeveloped areas. The most common target is the liver (59%-75%). The retroperitoneal space is considered as a rare localization. We report an uncommon case of HD located in the adrenal gland space.

Presentation of case: This is a 78-year-old Moroccan woman, with right flank pain for eight months previously. She denied contact with dogs or sheep. Her physical examination was normal. There was no pathological alteration of laboratory exams. CT scan measuring 5 cm without clear signs for a sure diagnosis found a round lesion in the right adrenal gland. An abdominal MRI showed a round mass of 34 x 27 mm with fluid component without a clear plane of dissection from kidney and liver. A laparoscopic procedure was performed to obtain a histological diagnosis. We reached a conclusive diagnosis of Hydatid cyst of right adrenal gland space. Hydatid cysts often develop in the liver. The location in the adrenal bed is rare without clinical signs related to alteration of the gland's secretion. Hydatid cyst identification in the adrenal gland space is based on ultrasonography, CT or MRI scans. The differential diagnosis includes various benign and malignant lesions. Laparoscopic procedure is the best approach available to obtain a histological diagnosis and a curative treatment. The best treatment for HD is the pericystectomy. Laparoscopic surgery can guarantee a radical resection of these lesions when it performed by an expert surgeon.

Keywords: Adrenal Gland; Hydatid disease; Laparoscopic Adrenalectomy; Laparoscopic Pericystectomy; MRI Cystic lesions.

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Conflict of interest statement

Conflict of interest: The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Rm scan T1weighted axial image showing the adrenal mass
Figure 2
Figure 2
Rm scan T1weighted sagittal image showing the adrenal mass
Figure 3
Figure 3
Rm scan T2weighted sagittal image showing the adrenal mass
Figure 4
Figure 4
Rm scan T2 weighted coronal image showing the adrenal mass
Figure 5
Figure 5
Specimen
See this image and copyright information in PMC

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References

    1. Krasniqi, Avdyl. et al. Primary hydatid cyst of the gallbladder: a case report. J Med Case Rep. 2010;4:29. - PMC - PubMed
    1. Wani Rauf Ahmad. et al. Primary extrahepatic abdominal hydatidosis. International Journal of Surgery. 2005;3:125–127. - PubMed
    1. Di Cataldo A.. et al. Hydatid disease in a very unusual location: the adrenal gland. A case report. Chirurgia italiana. 2002;55:275–278. - PubMed
    1. Horchani Ali. et al. Hydatid cyst of the adrenal gland: a clinical study of six cases. The Scientific World Journal. 2006;6:2420–2425. - PMC - PubMed
    1. de Werra C.. et al. Hydatid disease of the liver: thirty years of surgical experience. CHIRURGIA ITALIANA-MILANO THEN ROMA. 2007;59:611. - PubMed

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