Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 3 2023 06 25 265 267 Pooja Chandran Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India. Ankit Agarwal Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India. Debendra Tripathy Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India. Nitish Thakur Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India. Vikram Chandra Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India. 2022 05 22 2022 06 25 Administering anaesthesia in ruptured hydatid cyst of lung/liver has always been challenging. The major perioperative goal of management in such patients include protection of healthy lung, chance of anaphylaxis, deranged liver enzymes and coagulation profile, hepatic resection, postoperative management of bronchopleural fistula, blood loss and analgesic management of large incision. We report a case of successful management of a 40-year-old male with hepatic and pulmonary ruptured hydatid cyst with bronchopleural fistula under general anaesthesia (using double lumen tube) and thoracic epidural. https://aacc.tums.ac.ir/index.php/aacc/article/view/562