Hydatid cyst disease caused by E. granulosus is a
zoonotic disease that may involve many body tissues and organs, mainly liver. Adrenal glands are rarely involved even in regions where
hydatid cyst disease is endemic. A limited number of studies have been reported on adrenal gland involvement by
hydatid cyst disease. Herein, we aimed to report a recurrent case of adrenal
hydatid cyst that was misdiagnosed as a
hepatic hydatid cyst. A 16-year-old boy with a history of partial
cyst excision and evacuation for perforated adrenal
hydatid cyst disease three years ago presented to our outpatient clinic with nonspecific
abdominal pain. Ultrasonography and computed tomography showed a lesion with an approximate size of 70 × 70 mm compatible with a
hydatid cyst, which originated from the segment 5-6 of the liver and extended to the posterior-inferior direction. A surgical intervention was scheduled after a 2-week prophylactic
albendazole treatment. During
laparotomy using the old incision, it was noted that the cystic lesion that reportedly located in liver was actually a recurrent right adrenal
cyst. As dense adhesions existed, the cystic lesion was excised en bloc with the right adrenal gland. As the lesion was totally removed without getting ruptured,
albendazole was not administered at the postoperative period. No recurrence was observed at one-year follow-up.