Short Communication

Concomitant Occurrence of Hepatopulmonary hydatid Cysts in Turkey


Background: We aimed to report the demographic characteristics with diagnosis and treatment methods in patients with concomitant hepatopulmonary hydatid cysts.

Methods: Over a ten-year period (from 2002–2020) in Konya, Turkey, surgery was performed on 52 patients with hepatopulmonary hydatid cyst. Main outcome measure(s) were 52 hydatid cysts patients, which had cysts both in the liver and lungs, were investigated regarding their age, gender, cyst localization, suppuration, symptoms, and treatment methods.

Results: Seventeen of the patients were males. Their mean age was 39.7±18.8 years. The most common occupation was housewifery. The most common symptom was coughing and none of the patients with concomitant hepatopulmonary hydatid cysts was asymptomatic. The pulmonary hydatid cysts were mostly encountered in the right lung and the majority of the hepatic hydatid cysts were observed in the right lobe. The mean hospitalization time of the operated patients was 17.12±6.7 days.

Conclusion: In patients with hydatid cysts localized concomitantly in the right lung and subdiaphragmatic area, right thoracotomy for the pulmonary cyst and a transdiaphragmatic approach for the hepatic cyst is a safe, effective, and comfortable method.

1. Dalal U, Dalal AK, Singal R. Concomitant Lung and Liver Hydatid Cyst Managed as One-Stage Surgery. Maedica (Bucur). 2017; 12(1): 19-22.
2. Metin B, Aribas OK, Dumanli A, Aribas ET. Comparison of Pulmonary Hydatid Cysts between Men and Women. Kuwait Med J. 2016; 48(4): 312-316.
3. Singal R, Goyal S, Goyal R, Mittal A, Gupta S. Primary splenic hydatid cyst in a young boy an uncommon entity. West Indian Med J. 2011; 60: 374-376.
4. Yılmaz M, Işık F. Approach to pulmonary hydatid cyst in childhood. Hydatıd Cyst of the Lung. 2016; 5: 69-78.
5. Borrıe J, Shaw JH. Hepatobronchial fistula caused by hydatid disease The Dunedin Experience 1952-79. Thorax. 1981; 36: 25-28.
6. Gulamhussein MA, Patrini D, Pararajasingham J, et al. Hepatopulmonary Fistula: a life-threatening complication of hydatid disease. J Cardiothorac Surg. 2015; 29(10): 103.
7. Mihmanli M, Idiz UO, Kaya C, et al. Current status of diagnosis and treatment of hepatic echinococcosis. World J Hepatol. 2016; 8(28): 1169-1181.
8. Nunnari G, Pinzone MR, Gruttaduaria S, et al. Hepatic echinococcosis: Clinical and therapeutic aspects. World J Gastroenterol. 2012; 18(13): 1448-1458.
9. Garg MK, Sharma M, Gulati A, et al. Imaging in pulmonary hydatid cysts. World J Radiol. 2016; 8(6): 581-587.
10. Alan B, Kapan M, Teke M, Hattapoğlu S, and Arıkanoğlu Z. Value of cyst localization to predict cystobiliary communication in patients undergoing conservative surgery with hydatid cyst. Ther Clin Risk Manag. 2016; 12: 995–1001.
11. Ocakcıoğlu İ. A 3.5 cm single incision VATS Cystotomy and Cappitonage for a 15 cm hydatid cyst. 2014, August 26.
IssueVol 16 No 3 (2021) QRcode
SectionShort Communication(s)
Hydatid cyst Hepatopulmonary localization Surgery Turkey

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Arıbaş E, Metin B, Dumanlı A, Arıbaş O. Concomitant Occurrence of Hepatopulmonary hydatid Cysts in Turkey. Iran J Parasitol. 2021;16(3):506-511.