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Case Report

Massive hemorrhagic pleural effusion in Hydatidosis

1Biologist, Vanderbilt university, 2Assistant Professor, Dept. of Forensic Medicine, Malla Reddy Institute of Medical Sciences, 3,4 Assistant pro- fessor, 5 Professor and HOD, 6-13 Postgraduates Department of pulmonary and critical care medicine, Kamineni institute of medical sciences, Sreepuram, Narketpally, Nalgonda, TS, India.


We present an unusual case of massive hemorrhagic effusion due to hydatidosis, which was masquerading as malignant pleural effusion with bloody effusion and rapid refilling. Computerized tomography has shown the hydatid cyst in lung parenchyma (circular opacity) which has ruptured in to the pleural cavity. After a day, glistening membranes of the daughter hydatid cyst appeared with in the ICD bag which on histopathological examination confirmed as hydatid cyst. It is unusual and rare to present as hemorrhagic pleural effusion.