Extirpation Of Cyst Research Articles

External Dacryocystorhinostomy Using Buccal Mucous Membrane Graft Following Resection of Lacrimal Sac: A Case Report

We report a case of a 10-year-old patient presented with recurring nasolacrimal duct obstruction post-lacrimal sac cyst extirpation in which CT scan revealed a solidlesion that was more depicted by contrast-enhancedimage. The initial surgery and flap creation had inadvertently led to a mucosal shortage, posing a challenge for the subsequent procedure, which aimed to create aDacryocystorhinostomy (DCR). In a challenging approach, a buccal mucous membrane graft was employed to address the lack of mucous membrane required for the DCR. Over the course of five years, there was no recurrence of the cyst, signifying the success of this innovative treatment method of using buccal mucous membrane graft for external DCR.

Current Role of Surgery in the Treatment of Neurocysticercosis.

Neurocysticercosis (NCC) is a common parasitic disease of the central nervous system (CNS) in low- and middle-income countries. The infection is pleomorphic, caused by the larval form of the cestode, Taenia solium, and part of the heterogeneity of its clinical presentations is associated with the localization of the parasite within the CNS. Changes in the current epidemiological trends of NCC indicate that extra-parenchymal NCC is proportionally becoming more frequent. Extraparenchymal NCC is commonly accompanied by raised intracranial hypertension due to hydrocephalus, which is an emergency requiring cyst extirpation by surgical intervention to relieve the symptoms. Although less frequent, parenchymal cysts may also reach giant sizes requiring urgent surgical treatment. Finally, there is an advancement in the comprehension of the association between NCC and epilepsy-and patients with drug-resistant seizures are candidates for surgical treatment. In this narrative review, we summarize the present state of knowledge to update the current trends in the role of surgery in the treatment of NCC.

Physiological alterations of pineal recess crowding in symptomatic non-hydrocephalic pineal cysts.

Pineal cysts are prevalent in the population. Due to more widespread use of magnetic resonance imaging, an increasing number of symptomatic patients with non-hydrocephalic pineal cysts are referred to neurologists and neurosurgeons. Currently, there is no generally accepted theoretical framework for linking symptoms to a pineal cyst. We have previously suggested that cyst-induced crowding of the pineal recess may affect venous runoff from the deep cerebral veins crossing the cyst. However, evidence underpinning this hypothesis is sparse. In the present study, we asked whether crowding of the pineal recess without imaging signs of hydrocephalus may be accompanied with alterations in blood flow of the internal cerebral veins, cerebrospinal fluid flow in the Sylvian aqueduct and cerebrospinal fluid-mediated tracer clearance from the brain along extravascular pathways (referred to as glymphatic function). This prospective, observational study included symptomatic individuals with non-hydrocephalic pineal cysts who underwent a standardized magnetic resonance imaging protocol (n = 25): Eleven patients were treated surgically with craniotomy and cyst extirpation and 14 individuals were managed conservatively without surgery. Our findings suggest that cyst-induced crowding of the pineal recess may have brain-wide effects: (i) There was a significant negative correlation between degree of crowding within the pineal recess and change in maximum venous flow velocity at the cyst, and a significant positive correlation between maximum venous flow velocity change at the cyst and net cerebrospinal fluid flow in the Sylvian aqueduct; (ii) increased degree of crowding in the pineal recess was accompanied by significantly impaired glymphatic enrichment in the cerebral cortex and subcortical white matter, indicative of a brain-wide effect in this cohort who also reported markedly impaired subjective sleep quality; (iii) there was a significant negative correlation between the apparent diffusion coefficient (suggestive of interstitial water content) within the thalamus and glymphatic enrichment of tracer and (iv) pineal recess crowding associated with symptoms. Comparison of the surgical cases [in whom 10/11 (91%) reported marked clinical improvement at follow-up] and the conservatively managed cases [in whom 1/14 (7%) reported marked clinical improvement at follow-up] showed differences in pre-treatment glymphatic tracer enrichment as well as differences in tracer enrichment in subarachnoid cerebrospinal fluid spaces. Taken together, we interpret these observations to support the hypothesis that cyst-induced crowding of the pineal recess without hydrocephalus may alter blood flow of the internal cerebral veins and cerebrospinal fluid flow and even cause brain-wide impairment of glymphatic transport with possible implications for cerebrospinal fluid transport of trophic factors such as melatonin.

Dynamics of Sonographic and Morphological Changes in Baker's Cyst Formation

Comparative analysis of sonographic and morphologic assessment in formation of Baker's cyst has been performed. There were 25 patients with gonarthrosis lasted 5.6 + years. In development of Bakers cyst 3 periods were defined. Each period is characterized by structural changes caused by cyst development age and gonarthrosis stage. The period has specific quantitative and qualitative patterns of cyst wall and content. Ultrasound diagnosis of cyst structural development was reliably verified by histologic data. Ultrasound assessment of synovial masses in popliteal area allows to differentiate Bakers cyst with other pathologic processes in deforming knee arthrosis of different genesis. Accurate definition of structural cyst development periods is useful for the detection of indications for cyst extirpation.

PATTERNS IN WOUND HEALING PROCESS AFTER BRANCIAL CLEFT CYST EXCISION IN CHILDREN

The course of the wound healing process after surgical intervention on brancial cleft cyst excision should be considered as a stereotyped inflammatory-reparative reaction of the body, characterized by staged aseptic inflammation, regeneration and fibrosis. Clinically and even morphologically, it is difficult to determine the stages of the wound healing process in the temporal aspect, since they are consistent and interconnected.
 Purpose. The paper is aimed at evaluation of the wound healing process according to clinical indicators in children after branchial cleft cyst excision.
 Methods and Material. 26 children aged from 5 to 17 years old with branchial cleft cysts have been examined and treated. In the postoperative period, the nature, amount of exudate and its cell composition has been determined; skin contact thermometry has been performed at 4 points around the wound at a distance of 1 cm.
 Results. The first manifestations of the disease coincided with the course of acute respiratory viral diseases in 8 children (30.8%); association with ENT pathology was observed in 3 (11.5%) children and the cystic masses emerged spontaneously in 15 cases (57.7%). They were localized with almost the same incidence on the left and right, but the vast majority (21 cases (80.7%)) was located anteriorly the sternocleidomastoid muscle and in 5 (19.3%) cases behind it. Ultrasound examination, made in 21 patients (80.8%), has revealed the presence of cystic masses with clear contours, hypoechoic structure and fine-grained inclusions, and the wall thickness varied from 1 to 3 mm. In 5 doubtful cases (19.2%) a puncture biopsy was performed.
 On 1st day after surgery, hyperemia around the wound was moderate in 15 children (57.7%); it was insignificant in 8 (30.8%) children and it was absent in 3 (11.5%) children. At the same time all children experienced collateral edema of various localization and painful modality. In the impression smears, a significant number of neutrophils, a moderate number of lymphocytes and erythrocytes was detected, which were prominent against the background of a loose substrate. The temperature of the wound area was 36.24 ± 0.07˚C, which was higher compared to the control group (34.71 ± 0.12˚C).
 On 3rd day, the corolla of hyperemia around the wound was not detected in 18 patients (69.2%), and its narrowing was recorded in 6 (23.1%) cases and it was persistent in 2 (7.7%) cases. On palpation, severe, moderate and weak pain on the wound area was experienced by 2 (7.7%), 15 (57.7%) and 9 (36.4%) children, respectively. The cytograms of the exudate showed a reduced quantity of neutrophils, erythrocytes and lymphocytes. Two children showed elevated quantity of destructured neutrophils and local temperature to 37.21 ± 0.16 ° C, which required medical adjustments.
 A narrow corolla of hyperemia around the wound, slight edema and moderate pain was detected on 7th day only in 2 children. In all patients, palpation revealed tissue compaction along the wound canal, onset of epithelialization, and the cytograms revealed the presence of sporadic neutrophils. The temperature of the skin around the wound reached 35.74 ± 0.11˚C, which was almost similar to controls (34.21 ± 0.08˚C). In all cases, the wounds healed with primary tension.
 Thus, the nature of the dynamics of wound healing after brancial cleft cyst extirpation in children can be successfully controlled by the prominence of the main clinical signs, the findings of the study of cellular composition of wound exudate and local temperature measuring.
 The perspectives of further research are associated with availability and simplicity of the methods in terms of their application in everyday clinical practice.

Intracranial hydatid cysts: a report on 16 cases

AimTo describe the epidemiological and clinical criteria of those patients with rare intracranial cysts.BackgroundCentral nervous system (CNS) hydatid cysts are a rare presentation of hydatid cyst, although may be the cause of intracranial space-occupying lesions in 4% in endemic countries. It affects mostly children. The diagnosis of CNS hydatid is still problematic despite the advancements in imaging techniques (computed tomography or MRI). Extirpation of the intact cyst is the treatment of choice, resulting in most cases to a complete recovery.Patients and methodsA retrospective descriptive study was conducted on the CNS hydatid cases operated in our departments between 2011 and 2016. A total of 16 cases were included. For each case, we reviewed the presenting clinical manifestations and the imaging findings. The Glasgow Outcome Scale was followed for all cases throughout the follow-up period.ResultsOf 16 cases, 12 were children (<12 years). The most presenting findings were increased intracranial pressure. A single cyst was detected for 14 cases, whereas multiple cysts were identified in two cases. Extirpation of the cyst without rupture was achieved in 12 patients. Only two cases developed recurrent hydatid after 3 years. No intraoperative mortality was detected, whereas postoperative mortality occurred in one case owing to anaphylaxis following intraoperative rupture of the cyst.ConclusionSurgical excision of the whole hydatid cyst without rupture is the treatment of choice to avoid the life-threatening complications of CNS hydatid rupture.

Inhibitory effect of topical antibiotics/antiseptics administration on bacterial growth in the open wound of the jawbone surgery: Randomized controlled, preliminary study

Background/purposeTThe bone cavities after extirpation of cysts or tumor of the jawbone requires the insertion of gauze containing various antibiotics/antiseptics to minimize the risk of pain, bleeding, and surgical site infection (SSI). However, there have been few reports on the efficacy of topical administration of antibiotics/antiseptics to an open wound of the jawbone. To compare the inhibitory effects of topical povidone-iodine gel and tetracycline ointment on the jawbone wound bacterial growth after extirpation of cyst or tumor. Materials and methodsThis is a preliminary, randomized controlled, open-labeled trial. Eighteen patients were randomly assigned into two groups. In povidone-iodine (PI) group, gauze mixed with povidone-iodine gel was inserted into the bone cavity wound, and in tetracycline (TC) group gauze mixed with tetracycline ointment was inserted after extirpation of cyst or tumor of the jaw bone. In both groups, gauze was removed 48 h after surgery, and examined by bacterial culture and real-time polymerase chain reaction (PCR) using primers detecting total bacteria and MRSA. ResultsThe topical application of tetracycline ointment was superior to that of povidone-iodine gel concerning inhibitory effects of total bacteria and methicillin-resistant Staphylococcus aureus (MRSA). ConclusionThis preliminary study suggests that the insertion of gauze mixed with tetracycline ointment is recommended for bone wounds after extirpation of cyst or tumor of the oral cavity.

Laparoscopic Resolution of Pre Sacral Cyst by Anterior Approach

Video Objective present an infrequent pathology of gynecological pelvic surgery, expose the clinical case and the theoretical framework in an educational way and show the surgical resolution made. Setting A 23-year-old patient consulted for adnexal blastoma in the context of previous adnexal surgery with recurrence of the image and posterior laparoscopy, without evidence of it. It provides NMR that informs, in presacral and retrorectal topography, liquid image with regular edges of 9 cm. These images were already described in 2012. Consultation is made with diagnostic imaging, who define it as voluminous extra peritoneal cystic formation at the presacral level, with thin walls and some fine septa inside, which displaces the levator ani muscle. Interventions The incidence of presacral cysts is 1 in 100,000. Generally asymptomatic. It is important the correct diagnosis and its adequate treatment; Inappropriate decision can add complications. The treatment is surgical. Depending on its characteristics, you can have previous or subsequent access. The anterior approach is indicated in tumors greater than 5 cm, superior margin beyond the 3rd sacral vertebra and inferior margin is not below the 4th sacral. In our case, the previous approach was decided, achieving the partial extirpation of the cyst with the security of recognizing the neighboring structures throughout the procedure; there were no intraoperative or subsequent complications. Conclusion In spite of its low incidence, the presacral cyst must be considered as a possible complication of a previous pelvic surgery, since the incorrect resolution brings about consequences of difficult resolution. With the appropriate evaluation and in experienced hands, the resolution in the first instance is feasible.

A Five Years Prospective Study of Dentigerous Cyst

The purpose of this 5-year study (2002-2007) was to evaluate 90 cases of dentigerous cysts that were identified in a private dental office in terms of distribution by region (maxillary-anterior region, mandibular), age, sex, and surgical removal technique chosen. We also compared the 45 cases where PRGF was applied after cyst extirpation with the other 45 cases that were allowed to heal periosteum. We noticed that in cases where the PRGF clot was applied in the cystic geography, bone regrowth was achieved much faster.

The levels of serum immunoglobulin A, G and M in oral inflammatory cysts before and after surgical therapy

Background/Aim: Cysts which appear in the orofacial region are represented as common pathological changes which underlying mechanism of development is still not fully clear. In recent years, a dominant role in the pathogenesis of cysts belongs to the immunopathological reactions. It is assumed that the loss of bone in cysts is due to the presence of complementary cascades, prostaglandins synthesis and numerous neutrophil granulocytes. The main objective was to determine the levels of Ig G, A and M in serum and saliva of patients with radicular, residual and periodontal cysts before and after the surgical treatment. Material and Methods: The study included 185 patients, of which 150 patients were diagnosed with inflammatory cysts (radicular, periodontal and residual), while the control group consisted of 35 patients without presence of inflammatory cyst. The immunoglobulins were determined prior to the surgical removal of the cyst and one month after the procedure, when complete clinical wound healing was observed. The levels of these immunological markers were compared to each other before and after the cyst extirpation, taking into consideration the different cyst types. A comparison was also made between both examination and control group. Results: The difference of the basic values of the immunoglobulins before therapy and the basic values of the immunoglobulins in the control group was statistically significant only in the group of residual and periodontal cysts for IgG and IgM The difference of the average values of immunoglobulins (IgG, IgA and IgM) in the group with residual cysts before and one month after therapy is statistically significant (p=0.0000; p=0.0371; p=0.0276). A significant difference was registered in IgA among the three examined groups one month after surgical intervention. Conclusions: The levels of serum immunoglobulins in patients with inflammatory cysts were elevated before the treatment and dropped after the cyst removal. This study suggests that the IgA, IgG and IgM may play an important role in the occurrence, development and persistence of the cystic lesions.

Ovarian cyst removal influences ovarian reserve dependent on histology, size and type of operation.

Previous publications suggest a reduction in the ovarian reserve following ovarian surgery. The influence of the underlying disease, histology, size of the ovarian cyst and type of procedure remains unclear. The aim of this study was to investigate the influence of an ovarian operation on the ovarian reserve, based on the anti-Müllerian hormone levels. The anti-Müllerian hormone values were determined by means of a standardized enzyme-linked immunosorbent assay. In total, 52 patients with one or more ovarian cysts of different histologic entities treated at the Department of Women’s Health at the Women’s University Hospital in Tübingen were included in the study. Anti-Müllerian hormone was determined before and after surgery. The patients were 28 (range = 18–40) years old on average. There was a statistically significant decrease in anti-Müllerian hormone from 3.94 ± 3.18 to 3.14 ± 2.57 ng/mL (p = 0.001). In 80.8%, the cysts were unilateral, and in over 90.4%, a complete cyst extirpation was performed. A statistically significant reduction was seen in follicular cysts (4.72 ± 3.84 to 3.76 ± 2.91 ng/mL; p = 0.039) and endometriosis cysts (2.55 ± 1.87 to 1.72 ± 1.39 ng/mL; p = 0.024). Also, the size of the cysts had an influence on the ovarian reserve, only larger ovarian cysts with a diameter of 5 cm or more showed a statistically significant reduction in anti-Müllerian hormone. Our data showed a significant decrease in anti-Müllerian hormone levels after surgery on the ovaries. If this results in a long-term reduced ovarian reserve or is merely a short-term reaction to the procedure needs to be clarified. However, concerning young women, the indication of surgery should be given cautiously as—at least temporarily—a reduction in the ovarian reserve can occur.

嚢胞摘出後の顎骨欠損腔に対するハイドロキシアパタイト顆粒(アパセラムG®)の応用

嚢胞摘出後の顎骨欠損腔に対するハイドロキシアパタイト顆粒(アパセラムG®)の応用

Microsurgical Extirpation of Intracordal Cyst with a Microflap Technique

Microsurgical Extirpation of Intracordal Cyst with a Microflap Technique

Perioperative Efficacy of an Extended Half-Life, Pegylated, Full-Length, Recombinant Factor VIII (BAX 855) in Individual Procedures

BAX 855 is a pegylated full-length recombinant factor VIII (PEG rFVIII) built on rFVIII (ADVATE) with an extended half-life and is intended for prophylaxis and the treatment of bleeding in patients with hemophilia A.1 This phase 3 surgery study is evaluating the efficacy and safety of BAX 855 for the perioperative control of hemostasis. Patients' informed consent and appropriate ethics committee approvals were obtained. Elective procedures were prospectively classified (major or minor) by the investigator/surgeon and major emergency surgeries were excluded. The target trough FVIII levels for major and minor surgeries were to be ≥80% and 30-60%, respectively. Each patient's pharmacokinetic (PK) profile was used to guide the BAX 855 dose and infusion frequency. BAX 855 PK were consistent with previous PK assessments with terminal half-life ranging from 8.81 to 18.06 hours for the 15 patients in this study.In this interim analysis, 15 male previously treated patients (PTPs) ranging from 19 to 52 years of age have undergone 15 procedures in 7 countries. Individual procedure profiles are compiled to evaluate the control of hemostasis for BAX 855. There were 11 major procedures: 6 orthopedic (3 knee replacements, 2 arthroscopic synovectomies, 1 elbow cyst extirpation) and 5 non-orthopedic procedures (3 dental [root canals for 2 teeth, 2 extractions of ≥4 teeth, 1 radicular cyst removal], 1 cardiovascular [mediport placement], 1 abdominal [gastric band insertion]). The 4 minor surgeries comprised 1 synoviorthesis, 1 dental, 1 dermatological and 1 endoscopy (radiosynovectomy) procedure.Efficacy was evaluated by the surgeon or investigator's rating of hemostatic control using 4-point scale which was based on blood loss and by comparing actual blood loss with predicted blood loss which was specified by the surgeon for non-hemophilia patients prior to the procedure. For all procedures, the hemostatic control of BAX 855 was rated "excellent" for the intraoperative (during the procedure), postoperative (24 hours after completion of the procedure), and perioperative (from start of the procedure until discharge or day 14) periods, except for 1 minor dental procedure in which postoperative efficacy was rated "good" and 1 minor procedure in which a postoperative rating was not provided (for both of these procedures intra- and perioperative ratings were "excellent").Actual blood loss (ABL) for the intraoperative and postoperative periods were compared with predicted average and maximum values. Intraoperative ABL for all minor and major procedures was less than or equal to predicted averages and maximums, except for 1 minor procedure in which the ABL was greater than the predicted average and maximum and 1 major procedure which did not have ABL recorded. Postoperative ABL was less than or equal to predicted averages and maximums for 4/4 minor procedures and 5 major procedures. For 4 major procedures, postoperative ABL was greater than or equal to predicted average, but less than predicted maximums. For the remaining major procedure (synovectomy with general anesthesia) with reported ABL, postoperative ABL was greater than the predicted the average and maximum - the efficacy assessments at all periods for this procedure were considered "excellent".These results demonstrate the efficacy of BAX 855 for the perioperative control of hemostasis in patients with severe hemophilia A.1 Konkle BA, Stasyshyn O, Chowdary P et al. Pegylated, full-length, recombinant factor VIII for prophylactic and on-demand treatment of severe hemophilia A. Blood. 2015; Link to Publisher's site: http://www.bloodjournal.org/content/bloodjournal/early/2015/07/08/blood-2015-03-630897.full.pdf DisclosuresBrand:CSL Behring: Consultancy; Pfizer: Consultancy; Bayer: Consultancy; Baxalta: Consultancy, Research Funding; Novo Nordisk: Consultancy; Biotest: Consultancy. Gruppo:Baxalta: Consultancy, Research Funding; Novo Nordisk: Consultancy; Pfizer: Consultancy; Alexion: Speakers Bureau. Wynn:Baxalta: Research Funding. Griskevicius:Novartis: Consultancy, Research Funding; Baxalta: Research Funding. Fernanda Lopez Fernandez:Baxalta: Research Funding. Dvorak:Baxalta: Employment, Equity Ownership. Patrone:Baxalta: Employment, Equity Ownership. Abbuehl:Baxalta: Employment, Equity Ownership.

The Earliest-Known Extant Motion Picture of Anesthesia in the World was Filmed in Buenos Aires

In Buenos Aires, Argentina in 1899, the earliest known extant motion picture featuring anesthesia was filmed by French cameraman Eugenio Py. His Elgé camera captured medical student Rodolfo Santiago Roccatagliata chloroforming a patient for lung hydatid cyst extirpation by fellow Argentine, Professor Alejandro Posadas.

Anesthetic Management of a Patient with Sick Sinus Syndrome during General Anesthesia for Maxillofacial Surgery

Sick sinus syndrome (SSS) is a generalized abnormality of cardiac impulse formation. Patients with SSS occasionally need temporary pacing during general anesthesia. The most common issue arising in the perioperative period is electromagnetic interference with device function. We report a case of a 66-year-old man who required temporary cardiac pacing during maxillary cyst extirpation using electrocautery.

A Case of Radicular Cyst Extirpation in a Patient with Hereditary Angioedema

We report the case of a 35-year-old adult with hereditary angioedema (HAE) who underwent oral surgery under local anesthesia. Hereditary angioedemas are rare but significant events in simple oral surgery because they can cause acute life-threatening laryngeal edema. The patient was diagnosed as left mandibular radicular cyst involving the third molar based on the findings of CT and panoramic radiography. In accordance with the HAE guidelines, C1-INH was injected before surgery and tranexamic acid was administered long-term to avoid angioedema attacks. He underwent tooth extraction and cystectomy under local anesthesia. Although edema was recognized at the proximal phalanx of the middle finger, no other complication occurred during or after surgery.

Intra cranial hydatid cyst: A case report of total cyst extirpation and review of surgical technique

Hydatid cysts commonly affect liver and lung but it can also affect the brain in rare cases. We report a case of 22 year female with history of headache for one and half years. Intracranial hydatid cyst was diagnosed on computed tomography scan and magnetic resonance imaging. The cyst was delivered without rupture using hydrostatic dissection followed by post-operative anthelminthic medication. Surgery remains to be the standard management. Amongst the surgical techniques described, Dowling's technique is the most acceptable. However, care must be taken in to avoid rupture of the cyst peroperatively which can result in subsequent complications and recurrence. Albendazole and corticosteroids can be used as adjunct to surgical treatment in selective cases.

Galvos smegenų arachnoidinių cistų endoskopinis gydymas

Arachnoid cyst is a congenital collection of fluid similar like cerebrospinal fluid between the leaves of arachnoid. Usually they have no connections with subarachnoid space. Symptomatic arachnoid cysts are treated surgically. The method of surgical treatment depends according to the cyst location, surgeons experience and available instruments. The methods of arachnoid cysts surgical treatment are: craniotomy and open cyst extirpation and connection with subarachnoid space, endoscopic cyst aspiration and connection with subarachnoid space (cystocysternostomy) or ventricles (cystoventriculostomy) and cystoperitoneal shunting. We describe the method of endoscopic treatment of arachnoid cysts and review the clinic, diagnostic and early results of patients treated at the Department of Neurosurgery, Klaipėda University Hospital. There were 6 patients who underwent endoscopic surgery for arachnoid cysts during the period from January 2011 till January 2013. Four patients (66.7 proc.) had arachnoid cysts of middle cranial fossa and two (33.3 proc.) had intraventricular arachnoid cysts. Four patients underwent endoscopic cystocysternostomy and two patients underwent endoscopic cystoventriculostomy and cystoventriculocysternostomy. We observed early improvement in all patients. Diabetes insipidus has developed to one patient as a complication of surgery. Conclusion. Endoscopic surgery for arachnoid cysts is an effective, safe and minimally invasive treatment method. It must be the first method of surgery for most symptomatic arachnoid cyst. doi:10.5200/sm-hs.2013.071

Atypical Giant Hydatid Cyst at the Thoracic Wall Causing Bone and Soft Tissue Destruction: Report of a Case

Hydatid cyst is a zoonotic disease that is common in the Mediterranean region. Thoracic wall, rib or extrapulmonary intrathoracic localization of the cysts is very rare. Giant extrapulmonary intrathoracic hydatid cysts can lead to both diagnostic and treatment difficulties and can be confused with tumor. We present a case of a hydatid cyst with thoracic wall involvement mimicking tumor. We confirmed diagnosis only by surgical exploration and histopathological examination because radiology is not conclusive .Surgical treatment involved the total extirpation of cyst together wide debridement and resection of affected tissue. Primary thoracic wall closures were performed. In thoracic wall localization of cyst, post-operative course of albendazole for 6 weeks associated with surgery can help in sterilizing the cyst and reduce the recurrence rate. In this article, we presented a thoracic wall hydatidosis which is very uncommon asymptomatic presentation of hydatid cyst disease with its surgical management.