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Case Report

Management of an Isolated Hydatid Cyst in the Adrenal Gland: A Case Report and Literature Review

Toufic Saber, Saleem Abdel Backi, Hany Maalouf, Ali Abdallah, Elie Creidi, Ziad El Rassi.

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Hydatid disease is caused by Echinococci parasite. The disease is considered endemic in the Mediterranean region with an incidence of 50 in 100000 inhabitants. The disease can occur in various organs such as the lungs, liver, and bones, in isolated and disseminated forms, however 75% of these cases involve the liver. Unusual location of cyst can be reported in disseminated disease such as in the spleen and retroperitoneal space. Isolated cases in unusual locations, however, are rarely reported. The adrenal gland is a remarkably rare location for isolated hydatid cyst to occur with less than 10 cases reported in the literature. We report the case of an isolated hydatid cyst in the right adrenal gland of a 38 years old female who was successfully managed with a medical and surgical manner. Albendazole was used pre-operatively for 1-month followed by a laparoscopic en bloc resection of the hydatid cyst and right adrenal gland due to absence of cleavage plan. The patient was then discharged on Albendazole for 1-month post-operatively.

Key words: Hydatid Cyst, Adrenal gland, Echinococci, Albendazole, Lebanon

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