Le kyste hydatique primitif de la surrenale reste une localisation exceptionnelle. Une revue de la litterature nous a permis de retrouver onze cas seulement publies. Un nouveau cas d'hydatidose surrenalienne isolee est rapporte chez une patiente agee de 28 ans, revele par des douleurs du flanc droit et des vomissements. Le diagnostic a ete fait grace a l'imagerie, surtout la tomodensitometrie associee a la serologie hydatique, confirme en peroperatoire et a l'examen anatomopathologique de la piece operatoire. Le traitement a consiste en une simple kystectomie avec conservation de la glande. Les suites operatoires ont ete simples. L'interet de cette observation reside dans le caractere rare de cette localisation hydatique de diagnostic difficile. Parmi les differentes methodes therapeutiques proposees, la resection simple du kyste reste le meilleur traitement permettant de conserver la glande surrenale.
The hydatid cyst of the adrenal gland is still an exceptional localization. Only eleven cases have been described in the litterature. A new case of isolate suprarenal hydatidosis is reported in one 28 years old patient, that the signs consisted in pains of the right flank and vomitings. The diagnosis has been based on the imagery, particularly the computed tomography associated to the hydatid serology, confirmed during the operation and by the pathologic examination of the resected piece. The treatment consisted in a simple cystectomy with conservancy of the gland, the operative sequelae have been simple.The interest of this case lies in the rare feature of this hydatid localization that the diagnosis is difficult. Among the various suggested surgical methods, the simple resection of the cyst is still the best treatment that permits to keep the gland.