PMC4238233_01
Contrast CT (Sagittal section) demonstrating the ruptured hydatid cyst within the anterior portion of the left lobe of the liver, with serpiginous strands representing the collapsed membrane. Significant free fluid is noted within the pelvis.
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fig1
Significant free fluid was noted throughout the abdomen and pelvis (see Figure 1).
Intra-operative laparoscopy image demonstrating the ruptured cyst and folded hyaline membrane within. Hydatid fluid is leaking from the ruptured cyst.
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fig2
Laparoscopy revealed a large ruptured cystic mass within the left lateral lobe of the liver, almost completely replacing the hepatic parenchyma (see Figure 2).
H&E stain of hydatid cyst contents demonstrating numerous scolices (with thanks to Dr. Faris Kubba, Consultant Histopathologist, Ealing Hospital NHS Trust).
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fig3
Histology of the resected tissue confirmed the presence of a hyalinised, PAS-positive pseudocapsule (Brodie's capsule) with numerous scolices present, thus confirming the diagnosis of a hydatid cyst (see Figure 3).