title: Alveolar echinococcosis of the right adrenal gland: a case report and review of the literature.
abstract: BACKGROUND
  Extrahepatic manifestations of Echinococcus multilocularis are very rare, especially in the adrenal glands. To the best of our knowledge, only seven cases of adrenal alveolar echinococcosis have been reported, all from the Far East. All of these occurred exclusively in the right adrenal gland.
  
  
  METHODS
  We report a rare case of an extrahepatic alveolar echinococcosis in an asymptomatic 78-year-old white man with an incidentaloma of his right adrenal gland. After surgical resection and medical treatment with albendazole no recurrence of the disease appeared at 1-year follow-up.
  
  
  CONCLUSIONS
  As the occurrence of Echinococcus multilocularis in Europe increases, alveolar echinococcosis should be included in the differential diagnosis of cystic adrenal incidentalomas.
authors.affiliation: Department of Surgery, Limmattal Hospital Zurich-Schlieren, Zurich, Switzerland. silke.spahn@gmx.ch.
authors.forename: Silke
authors.initials: S
authors.lastname: Spahn
authors.affiliation: Department of Pathology, Triemli Hospital, Zurich, Switzerland.
authors.forename: Birgit
authors.initials: B
authors.lastname: Helmchen
authors.affiliation: Department of Surgery, Limmattal Hospital Zurich-Schlieren, Zurich, Switzerland.
authors.forename: Urs
authors.initials: U
authors.lastname: Zingg
mesh_terms: D000307:Adrenal Gland Diseases / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology; D000311:Adrenal Glands / Q000469:parasitology* / Q000473:pathology; D000315:Adrenalectomy / Q000379:methods; D000368:Aged; D015766:Albendazole / Q000627:therapeutic use*; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use*; D003371:Cough / Q000469:parasitology*; D003937:Diagnosis, Differential; D004443:Echinococcosis; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D048210:Echinococcus multilocularis / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000871:Anthelmintics; D015766:Albendazole
keywords: Adrenal gland; Alveolar echinococcosis; Cystic lesions; Incidentaloma; Multilocular echinococcosis