PMC3593510_01
Ultrasound of the abdomen showing splenic hydatid cysts with multiple daughter cysts
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F1
Ultrasonography of the abdomen showed enlarged spleen with multiple cystic areas, together measuring 18x15x11 cm. [Figure 1].
CT scan of the abdomen showing a hydatid cyst with primary splenic involvement. The patient had no other organ involvement. Axial contrast-enhanced CT scan through the upper (left) and lower (right) pole of the spleen show a huge cystic mass. Note the peripheral daughter cyst in the superior portion of the mother cyst
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F2
A computed tomography (CT) scan showed a large mass measuring 17.5x15x10 cm, containing air fluid levels and heterogeneous contents with predominant low-density areas, elevating left dome of the diaphragm [Figure 2].
Gross photograph of the splenectomy specimen showing multiple daughter cysts giving a flower-shaped appearance
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F3
The posterior aspect showed a cystic cavity having a white and smooth cyst wall, filled with multiple, variable-sized daughter cysts in a flower-shaped arrangement [Figure 3].
Photomicrograph showing a wall of a hydatid cyst (H and E, x40)
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F4
The hematoxylin and eosin (H and E)-stained slides showed a cyst wall comprising of three layers [Figure 4].
Photomicrograph showing multiple scolices of Echinococcus granulosus (H and E, x400)
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F5
Multiple scolices of Echinococcus granulosus were also seen [Figure 5].