Primary Hydatid Cyst of the Adrenal Gland: A Case Report and a Review of the Literature
Journal – International Journal of Surgery Case Reports
Publication date – May – 2020
Authors – Skander Zouari , Chakroun Marouene , Hana Bibani , Ahmed Saadi , Anis Sellami , Linda Haj Kacem , Ahlem Blel , Abderrazek Bouzouita , Amine Derouiche , Riadh Ben Slama , Soumaya Rammeh , Haroun Ayed , Mohamed Chebil
Keywords – Adrenal gland; Hydatid cyst; Surgical approach; Unusual location
Open access – Yes
Speciality – General surgery
World region Northern Africa
Language – English
Submitted to the One Surgery Index on June 5, 2020 at 10:47 am
Introduction: In North Africa which is an endemic region for Hydatid Cyst, Tunisia is considered as an endemic country. The liver and lungs are common locations for Hydatid Cysts, whereas the Adrenal Glands are unusual and rare locations.
Presentation of case: Here is a report of primary Hydatid Cyst in a 55-year old patient, with left hypochondrium pain as chief complain. No remarkable findings were revealed by physical examination and blood analysis showed normal range. Hydatid serology was negative. The diagnosis of Hydatid Cyst was suspected based on CT Scan results which showed a well-circumscribed, non-enhanced, multi-cystic, 12 cm mass with scattered calcifications located in the left adrenal gland. Therefore, the patient underwent an open surgery with resection of the protruding dome of the cyst as it was attached to the renal pedicle, the pancreatic tail, the spleen and the jejunum. The final pathological examination of the specimen led to a Hydatid Cyst.
Discussion: Throughout an extensive literature review that we have made, we have analyzed 54 reported cases, with their clinical presentations, biological exams, radiological features and surgical managements. The treatment should be surgical and has to be as conservative as possible. The prevention of the parasite transmission has to be the cornerstone of the disease management.
Conclusion: The hydatid cyst of the adrenal gland remains a rare diagnosis that has to be evoked in case of an adrenal gland cyst, especially in an endemic country.
OSI Number – 20505
PMID – 32417730