PMC6542305_01
Clinically 2 cm x 2 cm swelling in the left supraclavicular region
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F1
Examination revealed a soft cystic nontender swelling in the left supraclavicular region of approximately 2 cm x 2 cm size [Figure 1].
Fragments of the bladder wall of parasite in the form of fibrillary bluish material with interspersed small nuclei (May-Grunwald-Giemsa, x40)
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F2
May-Grunwald-Giemsa stain. Microscopic examination revealed fragments of the bladder wall of parasite in the form of fibrillary bluish material with interspersed small nuclei, and at places, they revealed a honeycomb appearance [Figures 2 and 3].
Higher magnification showing the nuclei in the bladder wall against a fibrillary blue background (May-Grunwald-Giemsa, x400)
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F3
May-Grunwald-Giemsa stain. Microscopic examination revealed fragments of the bladder wall of parasite in the form of fibrillary bluish material with interspersed small nuclei, and at places, they revealed a honeycomb appearance [Figures 2 and 3].
Mixed inflammatory infiltrate of eosinophils, neutrophils, histiocytes, plasma cells, and giant cells in the background (May-Grunwald-Giemsa, x100)
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F4
Background comprised mixed inflammatory cell infiltrate consisting of eosinophils, lymphocytes, and histiocytes [Figure 4].