Abstract
Although Echinococcal cysts can involve almost any part of the body, they usually occur in liver and lungs. Other organs are occasionally involved including brain, muscle, kidney and heart, making diagnosis and treatment more complex. We present a rare case of extrahepatic Echinococcosis in a 48-year-old female patient with history of unexplained hypertension. Patient was found to have an adrenal lesion on imaging, which turned to be an isolated primary adrenal hydatid cyst after surgical excision.