Hydatid Cyst Recurrence 24 Years After Thoracotomy: Multiple Daughter Vesicles Removed by VATS

Hydatid disease usually affects the liver and lungs, while thoracic wall involvement is extremely rare.We present a case of a 27-yearold woman with a history of right thoracotomy for hydatid cyst excision at age 3, now presenting with right upper back pain.Computed tomography revealed a cystic lesion in the right apical thoracic wall.Video-assisted thoracoscopic surgery was performed; daughter cysts were aspirated, and the cyst wall was excised completely.Histopathology confirmed recurrent hydatid cyst.The patient recovered uneventfully and received postoperative albendazole.This case highlights the potential for very late recurrence and the value of minimally invasive treatment.