title: Giant primary adrenal hydatid cyst presenting with arterial hypertension: a case report and review of the literature.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Urology, Hospital University Center Hassan II, 30000 Fez, Morocco. drahsaini@gmail.com.
authors.forename: Fadl
authors.initials: F
authors.lastname: Tazi
authors.forename: Mustapha
authors.initials: M
authors.lastname: Ahsaini
authors.forename: Abdelhak
authors.initials: A
authors.lastname: Khalouk
authors.forename: Soufiane
authors.initials: S
authors.lastname: Mellas
authors.forename: Roos E
authors.initials: RE
authors.lastname: Stuurman-Wieringa
authors.forename: Mohammed Jamal
authors.initials: MJ
authors.lastname: Elfassi
authors.forename: Moulay Hassan
authors.initials: MH
authors.lastname: Farih