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Cystic echinococcosis (CE) is a universal endemic larval infection that mainly involves the lung and liver 1,2 but can occur in various organs. 3 Bronchobiliary fistulae (BBF) is a highly uncommon complication of untreated hydatid cyst, and patients mainly present with bilioptysis. 4 Clinical manifestation of bilioptysis can attain the diagnosis of BBF, and therapeutic options may include surgical or safer non-surgical modalities. 5 We presented two patients with lung and liver hydatid cysts with BBF. In the current report, we share our experience treating this rare entity. | CASE PRESENTATION | Case 1A 45-year-old lady was admitted to our hospital due to dyspnea, fever, productive cough, and green sputum

Background Elastofibroma dorsi is a rare benign tumor of soft tissue, typically under the lower angle of the scapula. Its specific location and distinctive clinical symptoms can provide enough information for diagnosis. Nevertheless, pathological confirmation by biopsy may be needed to rule out other malignancies. Case presentation Here, we present two cases of 63-year-old and 49-year-old female Asian patients who came to us with the chief complaint of pain and bulging in their shoulders. Both patients had rubbery and mobile masses. Also, shoulder movements were not restricted in the examination; however, the patients expressed pain during movements. Computed tomography scans were compatible with the diagnosis of elastofibroma dorsi. Surgical excision was performed for both cases owing to the symptomatic nature of the masses, and histopathological findings confirmed the diagnosis. Conclusion Elastofibroma dorsi is a benign pseudotumor presenting with an uncomfortable feeling in the shoulder with movement in older females. In typical symptom-free cases of elastofibroma dorsi, observation is sufficient, while in symptomatic patients or if there is suspicion of malignancy, complete resection with marginal resection is the treatment of choice.

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