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: ). 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.