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Case Reports in Endocrinology
Volume 2016, Article ID 9237903, 4 pages
http://dx.doi.org/10.1155/2016/9237903
Case Report

A Large Isolated Hydatid Cyst of the Adrenal Gland: A Case Report and Review of the Literature

1Division of Infectious Diseases, Department of Medicine, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia
2Histopathology Department, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia
3Urology Department, Prince Sultan Military Medical City, Riyadh 11159, Saudi Arabia

Received 11 July 2016; Revised 30 October 2016; Accepted 7 November 2016

Academic Editor: John Broom

Copyright © 2016 Fatehi Elnour Elzein et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 44-year-old patient presented with two-year history of (R) lumbar pain. There was a strong history of childhood animals’ contact, including dogs. A brother had multiple hydatid cysts requiring surgery. Initial ultrasound showed a large (R) adrenal mass measuring  cm. Subsequent CT scan confirmed a heavily calcified cyst in the (R) adrenal gland. Hormonal studies were normal. He had an uneventful course following a total adrenalectomy. Isolated adrenal hydatid is extremely rare with an incidence of less than 0.5%; however, the diagnosis should always be suspected in all patients from an endemic area presenting with an adrenal cystic mass.