Abstract

Multiple thoracic hydatidosis with vascular involvement is exceptional but has a very poor prognosis. The authors report the observation of a 32 year old patient, hospitalized for cough and recurrent hemoptysis. Chest radiography showed "balloon-like" images. Chest CT scan showed cystic formations in the lungs and a false aortic aneurysm. Hydatid serology was strongly positive. A medical treatment with albendazole was prescribed, but the patient died of massive hemoptysis before surgical resection of the false aneurysm, which was recommended under extracorporeal circulation. An analysis of our observation and of other cases of arterial complications of hydatid disease reported in the literature is made to relate the clinical, radiological and therapeutic characteristics of this rare but very serious complication of hydatid disease.

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