Management of Pulmonary Hydatid Cyst With Pleural Complications: A Case Series

Introduction: The aim of this observational, retrospective study was to review and describe clinical presentations and management of patients with pulmonary hydatid cysts (PHC) and pleural complications. Methods: Complete case records from the previous 2 years were reviewed, including operative steps and follow-up of patients with PHC and pleural complications. Only four cases that presented with pleural complications were found out of 14 cases of surgically managed PHC. Results: The most common symptoms in all patients were chest pain and fever. In all cases, the lower lobes of the lung were involved. Lung resection surgery was not required in any case. There was no postoperative respiratory failure or immediate or late mortality in any of these patients. The mean follow-up was 10 months for all these cases, with no pulmonary recurrence or complications. Conclusion: Pulmonary parenchymal sparing surgical interventions are deemed to be the safest curative treatment for complicated PHC. Spontaneous pyopneumothorax can also be caused by complicated PHC.