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Hydatid disease is endemic in many regions of Turkey. We observed 23 cases of simultaneous liver hydatid cyst in 344 patients having pulmonary hydatid cyst referred to our center. The simultaneous hydatid cysts were diagnosed by ultrasonography. In all cases complete resection was possible in a single operation. We performed thoracophrenotomy in 21 cases and thoracolaparotomy in two cases. Empyema was observed in three patients postoperatively. No mortality has occurred. Recurrence of a pulmonary cyst was observed in one patient 20 months postoperatively.

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