Complicated Bilateral Pulmonary Hydatid Cysts

Hydatid disease also known as hydatidosis is an endemic parasitic zoonotic disease in some parts of world including Mediterranean basin, South America and Australia, caused by Echinococcus granulosus. Liver is the commonest site for hydatid disease followed by the lungs. The disease is not uncommon although human beings are accidental intermediate hosts in the natural history of hydatidosis but bilateral pulmonary hydatidosis is rare. Patient may be asymptomatic or occasionally present with fever, chest pain, cough and hemoptysis. Ruptured pulmonary hydatid cyst may lead to life threatening complication i.e. anaphylaxis. The hydatid serology results are often negative in pulmonary hydatid disease. Chest X-ray and CT scan of chest may be preoperative diagnostic investigations. Surgical intervention plays gold standard role for the treatment of pulmonary hydatidosis. We are reporting a rare case of complicated bilateral pulmonary hydatid cysts with its operative management and outcome.