%0 Journal Article %A García Pérez, Patricia V %A Dávila Arias, Cristina %A Duque Fernández De Vega, Sandra %T Hepatic hydatidosis that debuts with a direct rupture to the pleural cavity. %D 2021 %@ 1130-0108 %U http://hdl.handle.net/10668/16635 %X We present the case of a patient with pain in the right hypochondrium, dyspnea, deterioration of his general condition and a positive anti-Echinoccocus antibodies test. Ultrasound and thoraco-abdominal computed tomography (CT) demonstrated a complex hepatic cystic lesion with a transdiaphragmatic fistulous tract trajectory, directed to the pleural space. The lesion was compatible with a complicated hydatid cyst with direct rupture to the pleural cavity. Treatment with albendazole prior to surgery was started. %~