Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature

Hydatid cysts, caused by Echinococcus larval infections, are common in certain regions. In an unusual medical case, a 26-year-old female with a hydatid cyst was unexpectedly found to have an adrenal pheochromocytoma, a rare tumour producing catecholamines. She initially complained of persistent, non...

Full description

Saved in:
Bibliographic Details
Main Authors: Mehul Saxena, Shubhajeet Roy, Kushagra Gaurav, Akshay Anand, Chanchal Rana, Abhinav Arun Sonkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:https://journals.lww.com/10.4103/jmas.jmas_329_23
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850036317923049472
author Mehul Saxena
Shubhajeet Roy
Kushagra Gaurav
Akshay Anand
Chanchal Rana
Abhinav Arun Sonkar
author_facet Mehul Saxena
Shubhajeet Roy
Kushagra Gaurav
Akshay Anand
Chanchal Rana
Abhinav Arun Sonkar
author_sort Mehul Saxena
collection DOAJ
description Hydatid cysts, caused by Echinococcus larval infections, are common in certain regions. In an unusual medical case, a 26-year-old female with a hydatid cyst was unexpectedly found to have an adrenal pheochromocytoma, a rare tumour producing catecholamines. She initially complained of persistent, non-specific right upper abdominal pain. Imaging revealed a cystic lesion resembling a hydatid cyst. During surgery, unexpected arrhythmia and electrocardiographic changes led to the suspicion of acute coronary syndrome, halting the procedure. Further investigation revealed elevated urinary metanephrine levels and a suspicious soft-tissue mass, resulting in laparoscopic right adrenalectomy with hypertensive spikes. The patient was successfully managed, and post-operative examination confirmed the adrenal pheochromocytoma. Hydatid cysts usually present with non-specific symptoms and are diagnosed through imaging. Similarly, diagnosing cystic pheochromocytomas is challenging without typical symptoms, potentially leading to intraoperative complications. Misdiagnosed cases can result in hypertensive crises and hypotension, requiring specific management. Due to their variable presentation and rarity, pheochromocytomas are often misdiagnosed.
format Article
id doaj-art-99619f8703ea4a7880cabb41df1371e5
institution DOAJ
issn 0972-9941
1998-3921
language English
publishDate 2025-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Minimal Access Surgery
spelling doaj-art-99619f8703ea4a7880cabb41df1371e52025-08-20T02:57:12ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-04-0121220921310.4103/jmas.jmas_329_23Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literatureMehul SaxenaShubhajeet RoyKushagra GauravAkshay AnandChanchal RanaAbhinav Arun SonkarHydatid cysts, caused by Echinococcus larval infections, are common in certain regions. In an unusual medical case, a 26-year-old female with a hydatid cyst was unexpectedly found to have an adrenal pheochromocytoma, a rare tumour producing catecholamines. She initially complained of persistent, non-specific right upper abdominal pain. Imaging revealed a cystic lesion resembling a hydatid cyst. During surgery, unexpected arrhythmia and electrocardiographic changes led to the suspicion of acute coronary syndrome, halting the procedure. Further investigation revealed elevated urinary metanephrine levels and a suspicious soft-tissue mass, resulting in laparoscopic right adrenalectomy with hypertensive spikes. The patient was successfully managed, and post-operative examination confirmed the adrenal pheochromocytoma. Hydatid cysts usually present with non-specific symptoms and are diagnosed through imaging. Similarly, diagnosing cystic pheochromocytomas is challenging without typical symptoms, potentially leading to intraoperative complications. Misdiagnosed cases can result in hypertensive crises and hypotension, requiring specific management. Due to their variable presentation and rarity, pheochromocytomas are often misdiagnosed.https://journals.lww.com/10.4103/jmas.jmas_329_23adrenaladrenalectomyhydatid cystmasqueradingpheochromocytoma
spellingShingle Mehul Saxena
Shubhajeet Roy
Kushagra Gaurav
Akshay Anand
Chanchal Rana
Abhinav Arun Sonkar
Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature
Journal of Minimal Access Surgery
adrenal
adrenalectomy
hydatid cyst
masquerading
pheochromocytoma
title Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature
title_full Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature
title_fullStr Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature
title_full_unstemmed Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature
title_short Adrenal pheochromocytoma masquerading as a hydatid cyst: A case report and review of literature
title_sort adrenal pheochromocytoma masquerading as a hydatid cyst a case report and review of literature
topic adrenal
adrenalectomy
hydatid cyst
masquerading
pheochromocytoma
url https://journals.lww.com/10.4103/jmas.jmas_329_23
work_keys_str_mv AT mehulsaxena adrenalpheochromocytomamasqueradingasahydatidcystacasereportandreviewofliterature
AT shubhajeetroy adrenalpheochromocytomamasqueradingasahydatidcystacasereportandreviewofliterature
AT kushagragaurav adrenalpheochromocytomamasqueradingasahydatidcystacasereportandreviewofliterature
AT akshayanand adrenalpheochromocytomamasqueradingasahydatidcystacasereportandreviewofliterature
AT chanchalrana adrenalpheochromocytomamasqueradingasahydatidcystacasereportandreviewofliterature
AT abhinavarunsonkar adrenalpheochromocytomamasqueradingasahydatidcystacasereportandreviewofliterature