Rahman Ullah, Irfan Ullah, Mashal Nazir, Syed Shahmeer Raza, Hassan Janan, Najeebullah Khan, Asfandiar Shah Rukh Hijaz, Muhammad Babar Khan, Aimal Shah, Gulsam Bashir


Hydatid disease-a parasitic medical condition caused by echinococcus, is one of the oldest diseases known to mankind. Primary hydatid disease of the chest wall is very rare and only nine cases have been reported so far in the literature. This study presents a case of primary hydatid chest wall in a patient with right infraclavicular swelling that increased in size suddenly. A 35 year-old lady presented to the Surgical Unit of Khyber Teaching Hospital with a two and a half year history of right infraclavicular chest wall lump which increased in size abruptly Upon investigation the Computed tomographic scan of the chest showed a complex multiseptated hypodense lesion in the right pectoralis muscle with no involvement of underlying clavicle or rib. She was booked for exploration under general anaesthesia electively. The lump revealed multiple daughter cysts with the characteristics of germinal layers and ecto cysts of hydatid cysts. The patient had a stable recovery in the postoperative period and was sent home on medical treatment. On follow up she was fine; the wound had healed and there was no swelling in the surgical site. Primary hydatid disease of the chest wall is a very rare disease, so this case is a piece of good evidence to consider hydatid cyst in the differential diagnosis of any cystic mass in any part of the body, especially in endemic areas. Radical peri-cystectomy followed by chemotherapy with albendazole is all that is needed for the treatment.

Keywords: Primary Hydatid Disease; Dog Tapeworm; ecto cysts; Echinococcus granulosus

Full Text:



Ayuso LA, de Peralta GT, Lazaro RB, Stein AJ, Sanchez JA, Aymerich DF. Surgical treatment of pulmonary hydatidosis. J Thorac Cardiovasc Surg 1981;82(4):569–75.

Chau GY, Lee RC, Lui WY, Wu CW. Images of interest. Hepatobiliary and pancreatic: hepatic hydatid disease. J Gastroenterol Hepatol 2004;19(11):1320.

Demir HA, Demir S, Emir S, Kacar A, Tiryaki T. Primary hydatid cyst of the rib mimicking chest wall tumor: a case report. J Pediatr Surg 2010;45(11):2247–9.

Karaoglanoglu N, Gorguner M, Eroglu A. Hydatid disease of rib. Ann Thorac Surg 2001;71(1):372–3.

Findikcioglu A, Kilic D, Canpolat T, Hatipoglu A. Primary hydatid disease of the chest wall. Ann Thorac Cardiovasc Surg 2007;13(3):203–5.

Salih AM, Ahmed DM, Kakamad FH, Essa RA, Hunar AH, Ali HM. Primary chest wall Hydatid cyst: Review of literature with report of a new case. Int J Surg Case Rep 2017;41:404–6.

Yilmaz Avci B, Yildirim M, Onen A. Primary hydatid disease of the chest wall: a case report. Acta Chir Belg 2005;105(4):420–1.

Di Gesu G, Massaro M, Picone A, La Bianca A, Fiasconaro G. [Bone echinococcosis]. Minerva Med 1987;78(13):921–31.

Salih AM, Kakamad FH, Hammood ZD, Yasin B, Ahmed DM. Abdominal wall Hydatid cyst: A review a literature with a case report. Int J Surg Case Rep 2017;37:154–6.

Oguzkaya F, Akcali Y, Kahraman C, Emirogullari N, Bilgin M, Sahin A. Unusually located hydatid cysts: intrathoracic but extrapulmonary. Ann Thorac Surg 1997;64(2):334–7.


  • There are currently no refbacks.

Contact Number: +92-992-382571

email: [jamc] [@] []