Barw Barw Medical Journal 2960-1959 2024 03 20 Bilateral Giant Hydatid Pulmonary Cysts in a Pediatric Patient: A Rare Case Report 10.58742/beb68v43 eng Wirya N. Sabr Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. wirya.sabr@gmail.com Azad Star Hattam Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. azad.hattam@gmial.com Karzan M. Hasan Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. karzan.hasan@gmail.com Honar Othman Kareem Smart Health Tower, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. honar.kareem@gmail.com Harem K. Ahmed Department of Medicine, Shar Teaching Hospital, Sulaymaniyah, Kurdistan, Iraq. harem.kareem@gmail.com Suhaib H. Kakamad Collage of Medicine, Department of Immunology and Hematology. Kurdistan University of Medical Science, Sanandaj, Iran. suhaib.kakamad@gmail.com Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. fahmi.hussein@univsul.edu.iq Berun A. Abdalla Department of Biology, College of Education, University of Sulaimani, Madam Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq. berun.anwer95@gmail.com 2024 02 10 Introduction Pulmonary hydatid cysts, resulting from the Echinococcus tapeworm larva, primarily affect the lungs. The global incidence is elevated in regions with prevalent livestock farming due to the ingestion of Echinococcus eggs. Bilateral involvement is an infrequent presentation, carrying inherent respiratory risks. Accurate and prompt diagnosis necessitates a comprehensive approach involving imaging studies and serological tests to uncover this parasitic affliction. Case presentation In a 15-year-old male from an underprivileged rural background, bilateral giant hydatid cysts manifested. The patient's exposure to this parasitic infection was linked to his rural setting and contact with pets. The case unfolded with respiratory symptoms, prompting an investigation that revealed substantial bilateral cystic lesions. Successful surgical intervention and diligent postoperative care resulted in a smooth and uncomplicated recovery for the patient. Conclusion While giant bilateral hydatid cyst cases are rare, their documentation provides invaluable insights into the understanding and management of this complex condition. The prognosis hinges on various factors, underlining the importance of a multidisciplinary post-surgical approach for optimal patient outcomes.