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Published in: Journal of Medical Case Reports 1/2012

Open Access 01-12-2012 | Case report

Giant primary adrenal hydatid cyst presenting with arterial hypertension: a case report and review of the literature

Authors: Fadl Tazi, Mustapha Ahsaini, Abdelhak Khalouk, Soufiane Mellas, Roos E Stuurman-Wieringa, Mohammed Jamal Elfassi, Moulay Hassan Farih

Published in: Journal of Medical Case Reports | Issue 1/2012

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Abstract

Introduction

A primary hydatid cyst of the adrenal gland is still an exceptional localization. The adrenal gland is an uncommon site even in Morocco, where echinococcal disease is endemic.

Case presentation

We report the case of a 64-year-old Moroccan man who presented with the unusual symptom of arterial hypertension associated with left flank pain. Computed tomography showed a cystic mass of his left adrenal gland with daughter cysts filing the lesion (Type III). Despite his negative serology tests, the diagnosis of a hydatid cyst was confirmed on surgical examination. Our patient underwent surgical excision of his left adrenal gland with normalization of blood pressure. No recurrence has occurred after 36 months of follow-up.

Conclusion

There are two remarkable characteristics of this case report; the first is the unusual location of the cyst, the second is the association of an adrenal hydatid cyst with arterial hypertension, which has rarely been reported in the literature.
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Metadata
Title
Giant primary adrenal hydatid cyst presenting with arterial hypertension: a case report and review of the literature
Authors
Fadl Tazi
Mustapha Ahsaini
Abdelhak Khalouk
Soufiane Mellas
Roos E Stuurman-Wieringa
Mohammed Jamal Elfassi
Moulay Hassan Farih
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-6-46

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