Mahi Nadia El, Mojahid Amal, Bhalil Siham, Ziani Hamid, Nasri Siham, Kamaoui Imane, Skiker Imane
Department of Radiology, Faculty of Medicine, Mohammed VI University Hospital, University Mohammed First, Oujda, Morocco.
Radiol Case Rep. 2025 May 3;20(7):3547-3549. doi: 10.1016/j.radcr.2025.03.088. eCollection 2025 Jul.
Simultaneous involvement of the kidney and adrenal gland by a hydatid cyst is an extremely rare condition. This pathology, caused by , can lead to severe complications, particularly when the cyst ruptures into the excretory cavities (renal pelvis and ureter). Cyst rupture allows the dissemination of parasitic elements into the urinary tract, resulting in symptoms such as low back pain and urinary disturbances. Diagnosis relies on a combination of imaging (ultrasound, CT scan) and serological tests. Treatment is primarily surgical, involving nephrectomy and adrenalectomy when the structures are severely affected, along with postoperative antiparasitic therapy to prevent recurrence. Although rare, this dual involvement of the kidney and adrenal gland presents a significant diagnostic and therapeutic challenge. We present a rare case of simultaneous involvement of the adrenal gland and kidney, complicated by rupture into the excretory cavities, in a 45-year-old man complaining of low back pain.
包虫囊肿同时累及肾脏和肾上腺是一种极其罕见的情况。这种由[病因未提及]引起的病理状况可导致严重并发症，尤其是当囊肿破裂进入排泄腔（肾盂和输尿管）时。囊肿破裂会使寄生虫成分扩散到尿路，导致诸如腰痛和尿路紊乱等症状。诊断依靠影像学检查（超声、CT扫描）和血清学检测相结合。治疗主要是手术治疗，当结构严重受影响时进行肾切除术和肾上腺切除术，术后还需进行抗寄生虫治疗以预防复发。尽管罕见，但肾脏和肾上腺的这种双重累及带来了重大的诊断和治疗挑战。我们报告一例45岁男性患者，其肾上腺和肾脏同时受累，并伴有破裂进入排泄腔，该患者主诉腰痛。
