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- Case Report A Case of Incidentally Diagnosed Adrenal Paragonimiasis.
- Shin Ae Park, Seung Hwan Lee, Seung Hyun Ko, Jun Gi Kim, Soo Youn Park, Jin Young Yoo, Ho Woo Nam, Yu Bae Ahn
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Endocrinology and Metabolism 2011;26(1):97-100
DOI: https://doi.org/10.3803/EnM.2011.26.1.97
Published online: March 1, 2011
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2Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
3Department of Diagnostic Radiology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
4Department of Pathology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea.
5Department of Parasitology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
We report here on a rare case of adrenal paragonimiasis that presented with an adrenal incidentaloma. A 52-year-old male presented with fatigue and weight loss. The laboratory findings revealed eosinophilia (8.5%) and an increased eosinophil count (910/microL). The computed tomography scan showed 6.5 x 5 cm sized multilocular cystic mass in the right adrenal gland, which was non-functioning, and cystic lesions with variable sizes were also noted in the abdominal cavity. On the surgical field, whitish patches were spread out in the peritoneum, the omentum, the dome of the liver and the diaphragm. The right adrenal gland was replaced by a cystic mass filled with mucopurulent creamy materials. The pathologic findings revealed numerous eggs of Paragonimus spp. Also, the ELISA was positive for IgG paragonimus antibody. The adrenal gland can become infected by various microbial pathogens, including parasites, although it is relatively uncommon. However, in the case of a cystic adrenal mass with accompanying eosinophilia in an endemic area, clinicians should consider the possibility of parasitic infection.
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