Introduction: Hydatid disease in humans is caused by zoonotic parasites, after accidental ingestion of food contaminated by ova of Echinococcus granulosus. Giant hydatid cyst of the lung is most commonly seen in children, but it is rare in human adults. The lung is the second most common organ affected by hydatid diseases after the liver in humans. History and radiological findings are usually helpful in diagnosing hydatid cysts, but serology can add to the diagnosis. A small pulmonary cyst may be asymptomatic; however, giant or ruptured cysts may develop fatal complications. The surgical intervention followed by pharmacological therapy is the treatment of choice for giant hydatid cysts of the lungs. Case description: Here, we present a case of giant right-side hydatid cysts, presented with complaints of dyspnea, fever, and hemoptysis. The patient was successfully managed by right thoracotomy with an uneventful postoperative course. Conclusion: Giant hydatid lung cysts can present with any respiratory symptoms with fatal outcomes. Surgery followed by pharmacotherapy is the treatment of choice for giant pulmonary hydatid cysts.
Mandal S, Mandal MD. Human cystic echinococcosis: Epidemiologic, zoonotic, clinical, diagnostic and therapeutic aspects. Asian Pac J Trop Med 2012;5(4):253–260. DOI: 10.1016/S1995-7645(12)60035-2.
Alam MT, Saber S, Alam RF, et al. Primary pulmonary hydatid disease. Bangladesh Crit Care J 2018;6(2):105–107. DOI: 10.3329/BCCJ.V6I2. 38589.
Reddy CR, Narasiah IL, Parvathi G, et al. Epidemiology of hydatid disease in Kurnool. Indian J Med Res 1968;55:499–507. PMID: 5751850.
Amir-Jahed AK, Fardin R, Farzad A, et al. Clinical echinococcosis. Ann Surg 1975;182(5):541–546. DOI: 10.1097/00000658-197511000- 00001.
Mathur PN Parihar S, Joshi CP, et al. Hydatid disease-still endemic in the southern region of state of Rajasthan, India: A clinical study carried out in a tertiary care hospital. Int Surg J 2016;3(4):1802–1805. DOI: 10.18203/2349-2902.isj20162814.
Baruah A, Sarma K, Barman B, et al. Clinical and laboratory presentation of hydatid disease: A study from Northeast India. Cureus 2020;12(9):e10260. DOI: 10.7759/cureus.10260.
Engström EL, Salih GN, Wiese L. Seronegative, complicated hydatid cyst of the lung: A case report. Respir Med Case Rep 2017;21:96–98. DOI: 10.1016/j.rmcr.2017.04.005.
World Health Organization (WHO). Echinococcosis: epidemiology. https://www.who.int/echinococcosis/epidemiology/en/. Accessed on: 8 April 2020.
Gottstein B, Reichen J. Hydatid lung disease. Clin Chest Med 2002;23:397–408. DOI: 10.1016/S0272-5231(02)00007-2.
Karaoglanoglu N, Kurkcuoglu IC, Gorguner M, et al. Giant hydatid lung cysts. Eur J Cardiothorac Surg 2001;19: 914–917. DOI: 10.1016/s1010-7940(01)00687-x.
Celik M, Senol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: Report of 122 cases. J Pediatr Surg 2000; 12(35):1710–1713. DOI: 10.1053/jpsu.2000.19219.
Moro P, Schantz PM. Echinococcosis: A review. Int J Infect Dis 2009;13(2):125–133.
Halezeroglu S, Celik M, Uysal A, et al. Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997;113(4):712–717. DOI: 10.1016/S0022-5223(97)70228-9.
Beggs I. The radiology of hydatid disease. AJR 1985;145(3):639–649. DOI: 10.2214/ajr.145.3.639.
Arroud M, Afifi A, El Ghazi K, et al. Lung Hydatid cysts in children: Comparison study between giant and non-giant cysts. Pediatr Surg Int 2009;25:37–40. DOI: 10.1007/s00383-008-2256-z.
Barnes TS, Deplazes P, Gottstein B, et al. Challenges for diagnosis and control of cystic hydatid disease. Acta Trop 2012;123(1):1–7. DOI: 10.1016/j.actatropica.2012.02.066.
Athanassiadi K, Kalavrouziotis G, Loutsidis A, et al. Surgical treatment of echinococcosis by a transthoracic approach: A review of 85 cases. Eur J Cardiothorac Surg 1998;14(2):134–140. DOI: 10.1016/s1010-7940(98)00144-4.