Cystic echinococcosis (CE), commonly also known as hydatid disease, is a widespread helminthic anthropozoonosis caused by the development of the larval stage of Echinococcus granulosus sensu lato (E. granulosus s.l) in intermediate hosts. 1,2 The main transmission routes predominantly include the consumption of not well-washed raw vegetables and fruits, contaminated drinking water or the direct oral-faecal pathway. 3 CE has been listed by the World Health Organization (WHO) as one of the 20 neglected tropical diseases targeted for control or eradication by 2030. 4 The latest global burden of human CE was estimated to 285 500 disability-adjusted life years. 5-7 Nevertheless, this is likely to be an underestimate (>1 million, if underreporting is taken into account). 7 Tunisia is one of the most endemic regions of the Mediterranean Basin with an average surgical incidence of 12.6 cases per 100 000 population. 8 In adults, liver is the commonest site, whereas children are more likely to develop pulmonary than hepatic CE. 9 Human CE diagnosis, cyst staging and therapeutic decisions rely on a relevant clinical history, radiological methods along with

Through our case and a review of the literature, we will discuss the different alternatives in the treatment of HPF.