A rare case of primary hydatid cyst of the adrenal gland: Case report and review of the literature.

INTRODUCTION AND IMPORTANCE

Hydatid disease, caused by Echinococcus granulosus, is endemic in several regions worldwide, including the Middle East. While the liver and lungs are commonly affected, adrenal gland involvement is extremely rare and often misdiagnosed.

CASE PRESENTATION

We report a 22-year-old male from a rural area who presented with paraesthesia in his feet. Imaging revealed a large cystic lesion near the right adrenal gland. Further diagnostic workup, including CT scan and serology, suggested a chronic hydatid cyst. The patient received preoperative albendazole followed by successful surgical excision. Histopathological findings confirmed the diagnosis.

CLINICAL DISCUSSION

Adrenal hydatid cysts are rare, accounting for less than 1 % of all hydatid disease cases. Clinical presentation is usually non-specific, making imaging essential for diagnosis. This case underlines the importance of considering hydatid cysts in the differential diagnosis of adrenal masses, especially in endemic regions.

CONCLUSION

Early diagnosis and proper management of adrenal hydatid cysts can prevent serious complications. A multidisciplinary approach and awareness of atypical presentations are crucial for effective treatment.