PMC3984763_01
(a) The coronal CT image of bilobar hydatid cyst lesion. (b) The coronal CT image of multiple daughter cysts. (c) The axial CT image of multiple daughter cysts. (d) The axial CT image of inferior portion of the cyst that the red arrow shows the cystic wall calcification.
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fig1
Computed tomography (CT) revealed a 17 x 11 cm cystic lesion, with a thick and smooth wall that is located among the left liver lobe, diaphragm, spleen, tail of the pancreas, and transverse colon and invading the splenic hilum without any pathology of the intraabdominal organs (Figure 1).
A large cystic mass that is attached to the left liver lobe (yellow arrow shows the left liver lobe and blue arrow shows the cystic mass).
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fig2
A large cystic mass was identified retroperitoneally, attached to the left liver lobe, diaphragm, mesenterium of the transverse colon, tail of the pancreas, and spleen with a splenic hilum invasion (Figure 2).
Total cystectomy and splenectomy specimen (red arrow shows the spleen and yellow arrow shows the cystic mass).
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fig3
In order to protect peritoneal soilage, the abdomen was packed with 10% hypertonic saline soaked pads and total cystectomy and splenectomy were performed (Figure 3).