Mohammad Esmaeil Hejazi - M.D, Associate Professor of Pulmonology, Tuberculosis and lung disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Background: This paper mainly focuses on patients with ruptured pulmonary Echinococcusgranulosus infections (alveolar hydatid disease), who suffered from ruptured alveolar hydatid cyst.In this study we aimed to remove these ruptured central and peripheral pulmonary hydatid cysts bythe bronchoscopic saline injection method (ME Hejazi method).Case Description: In this retrospective study, we evaluated eight patients from an endemic areawho were non-surgically treated for ruptured pulmonary hydatid cysts at Imam Reza hospitalbetween 2016-2017. By the bronchoscopic saline injection method (ME Hejazi method), weextracted the entire hydatid cysts of all patients by fiber optic bronchoscopy for the detachment ofthe underlying membrane from the cavity wall.There were three female and five male patients, with a mean age of 40 ± 23 years (range 17–63years). Ruptured cysts were located in the peripheral (2) and central (6) parts of the lungs. All ofour experiences have been successful without any complications and residual cyst membrane.During the follow-ups, clinical and radiological recovery were seen in these patients.Conclusions: In the peripheral ruptured hydatid cysts, accurate recognition and location of the cystis essential and the blind approach is not recommended because it needs several bronchoscopicinterventions. Therefore the Hejazi method will be a beneficial and suitable alternative method forsurgery in the treatment of patients with ruptured pulmonary hydatid cyst with cyst membraneadhesions.