PMC7229415_01
Axial unenhanced and contrast-enhanced axial CT showed a cystic echinococcus 3b of the WHO classification: unilocular cystic well defined cystic mass with daughter cysts  inside a mucinous or solid cyst matrix  (high density region). No significant enhancement has been detected in any part of the cyst.
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The CT scan showed a well-circumscribed non-enhanced multi-cystic 12 cm mass with scattered calcifications located above the left kidney and the left adrenal gland which seemed shadowed (Fig. 1).
A. The adrenal cyst, contiguous to the tail of the pancreas. B. Resection of the protruding dome, after sterilizing the content of the cyst. C. Aspiration of the content of the cyst. D. The aspect of the residual cavity during the resection of the protruding dome.
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Thus, we performed a resection of the protruding dome, after sterilizing the content of the cyst (Fig. 2).
Hydatid periscyst: histological aspect of a thick fibrous and fatty cystic wall containing monomorphic inflammatory elements (x10 magnification).
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The final pathological examination of the specimen led to a hydatid cyst of the adrenal gland (Fig. 3).