PMC3959327_01
ERCP revealing at least five round bile duct contents (hydatid cysts and membranes)
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F1
An ERCP performed the next day visualized at least five round bile duct contents (Fig. 1), which proved to be, after sphincterotomy and debriment of the bile duct, hydatid cyst remnants.
CT scan showing pleural effusion and large diffuse peritoneal effusion around the liver. Air is present inside the hydatid cyst
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F2
Air was present inside the right hepatic lobe hydatid cyst, consistent with a biliary tree communication and the antecedent sphincterotomy (Fig. 2).
Plain x-ray showing complete absorption of pleural effusion. A percutaneous subdiaphragmatic drainage is also noted
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F3
X-ray chest film showed a complete resolution of the pleural effusions (Fig. 3) and CT scan revealed the absence of ascites (Fig. 4).