Bronchoscopic diagnosis and removal of a ruptured hydatid cyst

Hydatid cyst is a common clinical challenge in endemic areas. Atypical clinical presentation and radiologic findings may occasionally lead to misdiagnosis. We report the case of a 22-year-old woman who presented with chief complaints of cough and hemoptysis of 2 months' duration. Bronchoscopic examination revealed a smooth, necrotic-looking endobronchial lesion, producing total occlusion of the superior segment of the left lower lobe. This lesion was completely removed using a flexible bronchoscope. Diagnosis of hydatid cyst was confirmed by pathologic examination.