Primer dev adrenal hidatik kist

Adrenal bezin kistik lezyonları nadir görülür ve bunların ancak %6'sını hidatik kistler oluşturur. Adrenal bezi tutmuş dev hidatik kist olgusunu literatür eşliğinde sunmayı amaçladık. 30 yaşında kadın hasta, 3 aydır karın şişliği ve ağrısı mevcuttu. Fizik muayenede batın sağ yarısın da belirgin bir asimetri ve düzgün yüzeyli kitle lezyonu palpe edilmekte idi. Yapılan tetkiklerde sağ sürrenal hidatik kist tanısı kondu. Laparoskopik parsiyel kistektomi işlemi uygulandı ve hasta ameliyat sonrası 3. günde 20 mg/kg albendazol tedavisi ile sorunsuz şekilde taburcu edildi. Adrenal kaynaklı kistlerin ayırıcı tanısında, özellikle endemik olduğu bölgelerde hidatik kist de mutlaka akılda tutulmalıdır.

Giant primary adrenal hydatid cyst

Cystic lesions of the adrenal gland are rarely seen and only 6% of these account for hydatid cysts. We aim at presenting a case of giant hydatid cyst involving the adrenal gland alongside with literature. 30-year-old female patient was presented with abdominal distensi- on and pain present for 3 months. The patient's physical examination revealed a distinctive asymmetry and a palpable mass lesion with a smooth surface on the right side of the abdomen. The patient was diagnosed with right surrenal hydatid cyst through the imaging techniques. Laparoscopic partial cystectomy was performed and the patient was discharged without any problems on post-op 3rd day with 20 mg/kg albendazole treatment. Hydatid cyst should be kept in mind of the differential diagnosis of adrenal cyst, especially in areas where it is endemic

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Carvounis E, Marinis A, Arkadopoulos N, Theodosopoulos T, Sm- yrniotis V. Vascular adrenal cysts: a brief review of the literature. Arch Pathol Lab Med 2006;130:1722-4.

Oğuz A, Ersoy E, Söğütlügil M, ve ark. Primer hidatik kisti tak- lit eden kistik adrenal kitlede feokromositoma. JDE Endokrin 2012;9:202-5.

Milicevic MN. Hydatiddisease. In: Blumghart LH, Fong Y, eds. The Liver and Biliary Tract, 3rd ed, Vol. 2. London, UK: WB Saunders, 2000:1167-204.

Bastounis E, Pikoulis E, Leppaniemi A, Cyrochristos D. Hydatid disease: a rare cause of adrenal cyst. Am Surg 1996;62:383-5.

Abeshouse GA, Goldsteın RB, Abeshouse BS. Adrenal cysts; review of the literature and report of three cases. J Urol 1959;81:711-9.

Okuş A, Ay S, Karakaş C, Çarpraz M, Eryılmaz M. Liver cyst hyda- tid fistulated into duodenum. Eur J Gen Med 2012;9 (Suppl 1):53-5.

Fahim F, Mohammad S. Cystic echinococcosis in Central SaudiA- rabia: A 5-year experience. Turk J Gastroenterol 2007;18:22-7.

Ozoilo KN, Iya D, Kidmas AT, Uwumarogie O, Hassan S. Anterior abdominal wall hydatid cyst; an unusualpresentation. Niger J Med 2007;16:181-2.

Kusaslan R, Sahin DA, Belli AK, Dilek ON. Rupture of a mesenteric hydatid cyst: a rare cause of acute abdomen. Can JSurg 2007;50:E3- E4.

Tazi F, Ahsaini M, Khalouk A, et al. Giant primary adrenal hydatid cyst presenting with arterial hypertension: a case report and review of the literature. J Med Case Rep 2012;6:46.

Horchani A, Nouira Y, Nouira K, et al. Hydatid cyst of the adre- nal gland: a clinical study of six cases. ScientificWorldJournal 2006;6:2420-5.

Balik AA, Celebi F, Basoglu M, Oren D, Yildirgan I, Atamanalp SS: Intra abdominal extrahepatic echinococcosis. Surg Today 2001;31:881-4.

Escudero MD, Sabater L, Calvete J, et al. Arterial hypertension due to primary adrenal hydatid cyst. Surgery 2002;132:894-5.

Dionigi G, Carrafiello G, Recaldini C, et al. Laparoscopic resection of a primary hydatid cyst of the adrenal gland: a case report. J Med Case Rep 2007;1:61.

Vuitton DA. The WHO Informal Working Group on Echinococ- cosis. Coordinating Board of the WHO-IWGE. Parassitologia 1997;39:349-53.

Yeniyol CO, Minareci S, Ayder AR. Primary cyst hydatid of adre- nal: a case report. Int Urol Nephrol 2000;32:227-9.