Multiple Thoracic Hydatidosis: A Case Report

Mona Mlika*, Aida Ayadi-Kaddour, Faouzi El Mezni
Department of Pathology. Abderrahman Mami Hospital, Ariana. 2037, Tunis, Tunisia.

© 2012 Mlika et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Correspondence: * Address correspondence to this author at the Department of Pathology. Abderrahman Mami Hospital, Ariana. 2037, Tunis, Tunisia. Tel: 00216 98 538 862; E-mail:



Multiple thoracic hydatidosis is uncommon even in endemic countries. Case Presentation: A 37-year-old Caucasian man came to our observation with a 10-day history of basi-thoracic chest pain and dyspnea. Chest X-ray showed a well limited cardiac opacity associated to an opacity of the upper lobe of the right lung. Chest CT-scan showed a mediastinal cyst evoking a hydatid cyst in the left ventricle associated to a right pleural effusion. The patient underwent surgery that consisted in the drainage of multiple pericardial cysts, cystectomy of a left ventricle cyst and right pleural cystectomy. Microscopic examination showed a pleuro-pulmonary and cardiopericardial hydatidosis. The patient was treated with albendazole and did not present complications or recurrences after one year of follow up.


Multiple thoracic hydatidosis is rare. Cardiac location is most challenging because it is difficult to manage and life threatening. Treatment modalities continue to be based mainly on surgery. Preventive measures are necessary to avoid disease recurrence.

Keywords: Thorax, hydatidosis, treatment..