PMC3431058_01
Preoperative swelling in right paraumbilical region.
CRIM.SURGERY2012-583294.001.jpg
PMC3431058_01_CRIM.SURGERY2012-583294.001.jpg
fig1
A 60-year-old woman presented with swelling in right paraumbilical region evolving over a year (Figure 1).
CECT showing large subcutaneous cyst with muscular extension and intact peritoneum.
CRIM.SURGERY2012-583294.002.jpg
PMC3431058_01_CRIM.SURGERY2012-583294.002.jpg
fig2
Abdominal contrast enhanced computer tomography showed a predominantly subcutaneous cystic swelling with intra muscular extension without breach of peritoneum (Figure 2).
CECT Cyst with internal undulating septae.
CRIM.SURGERY2012-583294.003.jpg
PMC3431058_01_CRIM.SURGERY2012-583294.003.jpg
fig3
The cyst showed internal undulating septae (Figure 3).
Intraoperative subcutaneous cyst.
CRIM.SURGERY2012-583294.004.jpg
PMC3431058_01_CRIM.SURGERY2012-583294.004.jpg
fig4
Surgical exploration revealed a cystic mass arising from parietal wall upon dissection the cyst wall was found adherent to peritoneum to prevent rupture of cyst a part of peritoneum was also excised along with cyst wall (Figures 4 and 5).
Intraoperative cyst with extension into abdominal wall muscle.
CRIM.SURGERY2012-583294.005.jpg
PMC3431058_01_CRIM.SURGERY2012-583294.005.jpg
fig5
Surgical exploration revealed a cystic mass arising from parietal wall upon dissection the cyst wall was found adherent to peritoneum to prevent rupture of cyst a part of peritoneum was also excised along with cyst wall (Figures 4 and 5).
Specimen opened showing daughter cysts.
CRIM.SURGERY2012-583294.006.jpg
PMC3431058_01_CRIM.SURGERY2012-583294.006.jpg
fig6
The gross specimen on opening showed multiple daughter cysts and confirmed histopathologically as hydatid cyst (Figure 6).