PMC5749200_01
Ultrasonography
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F1
Ultrasonography showed a 10 cm x 7 cm x 7 cm thick walled cyst in segment VIII of liver with multiple loculations, septations suggestive of daughter cysts and partially calcified cyst wall [Figure 1].
Contrast computed tomography scan
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F2
Contrast enhanced computed tomography (CT) shows a multiloculated cyst in the segment VIII of liver with calcification at multiple sites in the wall and humping of the diaphragm [Figure 2].
USG-guided puncture of cyst with a spinal needle
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F3
Ultrasonography [Figure 3] was to identify the cyst and a 18 Fr spinal needle was used to puncture the hydatid wall through the midaxillary line.
External Nephroscopic view of hydatid cyst membrane and daughter cysts
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F4
Amplatz sheath suction was then introduced in the cavity and fluid with pieces of hydatid membrane were sucked out. 3% normal saline (NS) was introduced into the cyst cavity and kept in for 20 min, then sucked out. A nephroscope was introduced into the cyst and the hydatid material was evacuated under vision [Figures 4 and 5].
Nephroscopic view of the hydatid cyst with membrane
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F5
Amplatz sheath suction was then introduced in the cavity and fluid with pieces of hydatid membrane were sucked out. 3% normal saline (NS) was introduced into the cyst cavity and kept in for 20 min, then sucked out. A nephroscope was introduced into the cyst and the hydatid material was evacuated under vision [Figures 4 and 5].