Korean J Urol.  2014 Jul;55(7):493-495. 10.4111/kju.2014.55.7.493.

Laparoscopic Management of a Hydatid Cyst of the Adrenal Gland

• Kumar S
• Nanjappa B
• Gowda KK

• KMID: 1794580
• DOI: http://doi.org/10.4111/kju.2014.55.7.493

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.

Keyword

Cyst aspiration; Cyst excision; Echinococcosis; Hydatid cyst; Laparoscopy

MeSH Terms

Adrenal Gland Diseases/pathology/radiography/*therapy
Albendazole/therapeutic use
Anticestodal Agents/therapeutic use
Combined Modality Therapy
Echinococcosis/pathology/radiography/*therapy
Female
Humans
Laparoscopy/*methods
Middle Aged
Tomography, X-Ray Computed
Albendazole
Anticestodal Agents

Figure

• 

  FIG. 1 Contrast-enhanced computed tomography scan showing a cystic lesion involving the left adrenal gland.

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  FIG. 2 (A, B) Intraoperative photograph showing cyst aspiration by directly inserting a trocar into the cyst and laparoscopic cyst dissection after aspiration.

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  FIG. 3 (A) Histopathology image showing adrenal cortical cells in clusters as well as scattered singly with necrosis in the background (MGG stain, ×400). (B) One of the hooklets of the hydatid cyst seen along with a multinucleated giant cell. The hooklet was seen as an acid-fast structure in Ziehl-Neelsen stain (×1,000).

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