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Uludokumaci A, Canberk S, Elcin BB, Uygun N, Cakalir C, Canberk M. Hydatid disease limited to bilateral adrenal glands mimicking tuberculosis. Cytojournal 2014; 11:20. [PMID: 25191513 PMCID: PMC4141412 DOI: 10.4103/1742-6413.137761] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2014] [Accepted: 04/28/2014] [Indexed: 12/18/2022] Open
Affiliation(s)
- Atay Uludokumaci
- Address: Department of Pathology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey
| | - Sule Canberk
- Division of Cytology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey
| | - Bilge Baskir Elcin
- Address: Department of Pathology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey
| | - Nesrin Uygun
- Division of Cytology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey
| | - Canser Cakalir
- Division of Cytology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey
| | - Mehmet Canberk
- Department of Microbiology, Istanbul Education and Research Hospital, Istanbul, Turkey
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Kumar S, Nanjappa B, Gowda KK. Laparoscopic management of a hydatid cyst of the adrenal gland. Korean J Urol 2014; 55:493-5. [PMID: 25045450 PMCID: PMC4101121 DOI: 10.4111/kju.2014.55.7.493] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2012] [Accepted: 09/27/2012] [Indexed: 12/25/2022] Open
Abstract
Hydatid disease is endemic in parts of India, yet genitourinary involvement is rare. Laparoscopic management of such cases is uncommonly reported. We present a case of an adrenal hydatid and its management by laparoscopic aspiration, instillation of scolicidal solution, and partial excision of the cyst.
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Affiliation(s)
- Santosh Kumar
- Department of Urology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Bhuvanesh Nanjappa
- Department of Urology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Kiran Krishne Gowda
- Department of Pathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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3
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Tazi F, Ahsaini M, Khalouk A, Mellas S, Stuurman-Wieringa RE, Elfassi MJ, Farih MH. Giant primary adrenal hydatid cyst presenting with arterial hypertension: a case report and review of the literature. J Med Case Rep 2012; 6:46. [PMID: 22297078 PMCID: PMC3284872 DOI: 10.1186/1752-1947-6-46] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2011] [Accepted: 02/01/2012] [Indexed: 12/17/2022] Open
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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Affiliation(s)
- Fadl Tazi
- Department of Urology, Hospital University Center Hassan II, 30000 Fez, Morocco.
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4
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Alveolar hydatid disease of the adrenal gland: computed tomography and magnetic resonance imaging findings. Jpn J Radiol 2009; 27:225-8. [PMID: 19554417 DOI: 10.1007/s11604-009-0326-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2009] [Accepted: 03/19/2009] [Indexed: 10/20/2022]
Abstract
Echinococcosis is a parasitic infection of humans caused by the larval stage of the tapeworm Echinococcus. Primary alveolar echinococcosis of the adrenal gland is rare. We report a case of alveolar hydatid disease of the adrenal gland that presented as a multiloculated cystic mass without calcification. The lesion was purely cystic in nature, suggesting that it was at an early stage of development.
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Stamatakos M, Sargedi C, Stefanaki C, Safioleas C, Matthaiopoulou I, Safioleas M. Anthelminthic treatment: an adjuvant therapeutic strategy against Echinococcus granulosus. Parasitol Int 2009; 58:115-20. [PMID: 19272345 DOI: 10.1016/j.parint.2009.01.002] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2008] [Revised: 12/30/2008] [Accepted: 01/07/2009] [Indexed: 11/17/2022]
Abstract
The main goal of the paper is to clarify anthelminthic treatment as an alternative hydatic cyst therapy, its indications and contraindications. Chemotherapy constitutes a non-invasive treatment and is less limited by the patient's status than surgery or PAIR. Many investigators have employed benzoimidazole carbonates for the management of human hydatid disease. Both, albendazole and mebendazole have, a favourable effect in patients suffering from multiorgan and multicystic disease, in inoperable primary liver or lung echinococcosis, and they can also prevent secondary echinococcosis. Chemotherapy is contraindicated for large cysts that are at risk to rupture and for inactive or calcified cysts. The main adverse events are related to changes in liver enzyme levels. The best efficacy is observed with liver, lung, and peritoneal cysts. Certain various factors influence the therapeutic results of medical treatment. The vast majority of the recurring cysts show good susceptibility to re-treatment.
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Affiliation(s)
- M Stamatakos
- 2nd Propaedeutic Department of Surgery, Medical School, University of Athens, Laiko General Hospital, Athens, Greece.
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Ruiz-Rabelo JF, Gomez-Alvarez M, Sanchez-Rodriguez J, Peña SR. Complications of extrahepatic echinococcosis: Fistulization of an adrenal hydatid cyst into the intestine. World J Gastroenterol 2008; 14:1467-9. [PMID: 18322969 PMCID: PMC2693703 DOI: 10.3748/wjg.14.1467] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Echinococcal cysts are usually found in liver and lungs, but any other organ can potentially be involved. Extrahepatic disease due to hydatid cyst may develop in the abdominal and pelvic cavity, aside from in other less common locations, which may make both diagnosis and treatment more complex. We present a rare case of extrahepatic echinococcosis in a 70-year old patient with a 4-d history of dull abdominal pain, anemia within the transfusion range and fever. She underwent surgery for left renal hydatid cysts 30 years ago. After non operative treatment, imaging studies showed a calcified hydatid cyst in a retrogastric location communicating with a proximal jejunal loop. En-block resection of the mass together with the adrenal gland was performed including closure of the enteric fistula. Anatomic pathology confirmed the diagnosis of a calcified hydatid cyst of left adrenal origin. Surgery is the treatment of choice and most authors recommend removal of cyst and adrenal gland.
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7
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Tsaroucha AK, Polychronidis AC, Laftsidis PA, Pitiakoudis MS, Fotakis SN, Simopoulos CE. Primary adrenal hydatid cyst: a case report. ACTA CHIRURGICA IUGOSLAVICA 2007; 54:115-117. [PMID: 18044328 DOI: 10.2298/aci0702115t] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
A rare case of primary adrenal hydatid cyst is reported in a 56-year-old male. The cyst was discovered incidentally. The only symptom was hypertension. Partial excision of the gland and pericystectomy were performed. Surgical treatment was also therapeutic for the hypertension.
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Affiliation(s)
- A K Tsaroucha
- 2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
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Bedioui H, Jouini M, Nouira K, Bouzid T, Kacem M, Ben Safta Z. [Primary hydatid cyst of adrenal gland. Report of two cases]. ACTA ACUST UNITED AC 2004; 130:104-7. [PMID: 15737323 DOI: 10.1016/j.anchir.2004.11.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2004] [Accepted: 11/12/2004] [Indexed: 10/26/2022]
Abstract
Primary hydatid cyst of adrenal gland is still an exceptional localization. The adrenal gland is an uncommon site even in our country in which echinococcal disease is endemic. We report two cases of primary hydatid cyst of adrenal gland presented with isolated abdominal pain. The diagnosis was based on CT-scan, which showed a cystic mass of respectively the right and left adrenal gland with a calcified wall. The echinococcal immunologic test (Elisa) was positive in one case. The surgical treatment consisted on a total resection of the cyst, without rupture of the cystic wall and preserving the gland. The diagnosis was confirmed on the macroscopic examination of the resected pieces. In the first case the cyst was multilocular filled with daughter cysts and in the second case the cyst was unilocular filled with hydatid membrane and clear fluid. In the two cases, the postoperative course was uneventful. No recurrence had occurred respectively after 24 months and 36 months of follow up.
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Affiliation(s)
- H Bedioui
- Services de chirurgie générale A et de radiologie, hôpital La Rabta, 5, rue Ibn-Messaoud, El Menzeh 6, Ariana, 2091, Tunisie
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Gürdal M, Kireççi S, Yücebaş E, Karaman MI. Primary retroperitoneal hydatid cyst with unusual clinical manifestation. Urol Int 2004; 73:92-4. [PMID: 15263802 DOI: 10.1159/000078813] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2002] [Accepted: 10/04/2002] [Indexed: 11/19/2022]
Abstract
Although hydatid disease may affect any organ of the body, there are only a limited number of cases where the primary lesion is in the retroperitoneal region. Since the clinical and laboratory findings are nonspecific, the correct preoperative diagnosis may be difficult. A primary retroperitoneal hydatid cyst that was given a preoperative diagnosis of adrenal mass and treated by adrenalectomy and partial nephrectomy is presented and discussed with the relevant literature.
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Affiliation(s)
- Mesut Gürdal
- Ministry of Health, Haydarpasa Numune Training Hospital, Second Department of Urology, Istanbul, Turkey.
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Escudero MD, Sabater L, Calvete J, Camps B, Labiós M, Lledó S. Arterial hypertension due to primary adrenal hydatid cyst. Surgery 2002; 132:894-5. [PMID: 12464876 DOI: 10.1067/msy.2002.119313] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Maria D Escudero
- Departments of Surgery and Internal Medicine, Hospital Clínico, University of Valencia, Valencia, Spain
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el Idrissi Dafali A, Dahami Z, Zerouali NO. [Hydatid cyst of the adrenal gland. A case report]. ANNALES D'UROLOGIE 2002; 36:99-103. [PMID: 11969056 DOI: 10.1016/s0003-4401(01)00081-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The hydatid cyst of the adrenal gland is still an exceptional localization. Only eleven cases have been described in the literature. A new case of isolate suprarenal hydatidosis is reported in one 28 years old patient, that the signs consisted in pains of the right flank and vomiting. The diagnosis has been based on the imagery, particularly the computed tomography associated to the hydatid serology, confirmed during the operation and by the pathologic examination of the resected piece. The treatment consisted in a simple cystectomy with conservancy of the gland, the operative sequelae have been simple. The interest of this cases lies in the rare feature of this hydatid localization that the diagnosis is difficult. Among the various suggested surgical methods, the simple resection of the cyst is still the best treatment that permits to keep the gland.
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Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics 2000; 20:795-817. [PMID: 10835129 DOI: 10.1148/radiographics.20.3.g00ma06795] [Citation(s) in RCA: 448] [Impact Index Per Article: 18.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Hydatid disease primarily affects the liver and typically demonstrates characteristic imaging findings. However, there are many potential local complications (eg, intrahepatic complications, exophytic growth, transdiaphragmatic thoracic involvement, perforation into hollow viscera, peritoneal seeding, biliary communication, portal vein involvement, abdominal wall invasion). Furthermore, secondary involvement due to hematogenous dissemination may be seen in almost any anatomic location (eg, lung, kidney, spleen, bone, brain). Ultrasonography (US) is particularly useful for the detection of cystic membranes, septa, and hydatid sand. Computed tomography (CT) best demonstrates cyst wall calcification and cyst infection. CT and magnetic resonance (MR) imaging may demonstrate cyst wall defects as well as the passage of contents through a defect. Chest radiography, US, CT, and MR imaging are all useful in depicting transdiaphragmatic migration of hydatid disease. CT is the modality of choice in peritoneal seeding. US and CT demonstrate rupture in most cases that involve wide communication. Indirect signs of biliary communication include increased echogenicity at US and fluid levels and signal intensity changes at MR imaging. CT allows precise assessment of osseous lesions, whereas MR imaging is superior in demonstrating neural involvement. Familiarity with atypical manifestations of hydatid disease may be helpful in making a prompt, accurate diagnosis.
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Affiliation(s)
- I Pedrosa
- Department of Diagnostic Imaging, Hospital Clínico San Carlos, Universidad Complutense, C/ Martín Lagos s/n, 28040 Madrid, Spain.
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de Bree E, Schoretsanitis G, Melissas J, Christodoulakis M, Tsiftsis D. Cysts of the adrenal gland: diagnosis and management. Int Urol Nephrol 1998; 30:369-76. [PMID: 9821036 DOI: 10.1007/bf02550213] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Cysts of the adrenal gland are rare, but with the wider application of sonography and computed tomography more adrenal cysts are detected incidentally. To gain more insight into this entity, five such cases are reported and their diagnostic approach and management are discussed. PATIENTS AND METHODS The records of five patients with six cysts of the adrenal glands seen at our department from 1987 till 1995 are reviewed. There were four males and one female and their age ranged from 24 to 72 years, with a mean age of 43 years. One patient had a primary hydatid cyst of the right adrenal gland, which was preoperatively thought to arise from the liver or the right kidney. A second patient had a very large pseudocyst of the left adrenal gland, which is the largest ever reported in the literature. The other four cysts in three patients were found incidentally during sonography or computed tomography. RESULTS The hydatid cyst with a rim of normal adrenal tissue was excised. The large pseudocyst was removed together with the adrenal gland. In the cases of the incidentally found cysts, observation of the patient with regular follow-up was decided upon. All patients are in good condition and without symptoms 2 to 10 years after the initial diagnosis. CONCLUSIONS Adrenal cysts are rare and their diagnosis may pose problems. Symptomatic adrenal cysts should be operated, but small, asymptomatic, non-functional cysts with benign characteristics may be treated conservatively with regular follow-up by sonography or computed tomography and hormonal evaluation.
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Affiliation(s)
- E de Bree
- Department of Surgical Oncology, Medical School, University of Crete, Herakleion, Greece
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