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To highlight the rare presentation of a giant hepatic hydatid cyst that mimics massive pleural effusion and its diagnostic challenges.

May 2, 2026Open Access

A Rare Presentation of a Giant Hepatic Hydatid Cyst Mimicking Massive Pleural Effusion: A Case Report

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To highlight the rare presentation of a giant hepatic hydatid cyst that mimics massive pleural effusion and its diagnostic challenges.
Case presentation of a 72-year-old female with Type 2 Diabetes Mellitus and hypertension.
Imaging through ultrasound and CT to identify a large hepatic hydatid cyst and pleural effusion.
Laboratory tests indicated marked eosinophilia and provided evidence for diagnosis.
A 15.3 × 10.7 cm hepatic hydatid cyst was identified, associated with massive right-sided pleural effusion.
Pleural fluid analysis revealed eosinophilic characteristics, pointing away from primary pleural effusion.
Symptoms of acute breathlessness and right upper quadrant pain led to initial misdiagnosis.

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Case report demonstrates hydatid disease misdiagnosed as pleural effusion in an elderly female, indicating critical diagnostic considerations.

Rathnakumar G.*1, Prince Prabhakaran A.2, Mohamed Faisal Basheer3, Jerald Bose D. C.4, Vignesh Saravanan5, Nandhini P.6 (2026) studied this question.

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Case report demonstrates hydatid disease misdiagnosed as pleural effusion in an elderly female, indicating critical diagnostic considerations.