An atypical case of bilateral pulmonary hydatid cyst with endo-rupture managed with two-stages uniportal video-assisted thoracoscopic surgery in Palestine: case report.

INTRODUCTION

Echinococcosis is a helminthic infection caused by cestodes of the genus Echinococcus (e.g., E. granulosus, E. multilocularis). Infection is typically acquired by accidental ingestion of Echinococcus eggs, which are shed in the feces of infected dogs. Infection results in cystic lesions in the liver (75% of cases), lungs (15% of cases) and, rarely, other organs.

CASE PRESENTATION: We report here a case of a bilateral pulmonary hydatid cyst in a 19-year-old female with endo-rupture of the cyst in the right upper lobe. The patient presented with a history of longstanding dry cough, fever, and chest pain.

CLINICAL DISCUSSION: Diagnostic investigations revealed the nature and content of the cysts. Eventually, our patient underwent sequential surgical removal of the cysts using uniportal video-assisted thoracoscopic surgery (VATS). In pulmonary hydatid cyst, the infection usually manifests as a single isolated pulmonary hydatidosis, bilateral pulmonary hydatidosis is unfamiliar presentation.

CONCLUSION

Bilateral pulmonary hydatidosis is not a common entity, even in endemic areas. VATS has been increasingly used to treat lung cysts with better outcomes.