PMC3350300_01
CT after 3 month course of albendazole and praziquantel.
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fig1
The patient was treated with albendazole and praziquantel for 3 months with no clinical or radiographic improvement (Figure 1).
Trocar placement.
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fig2
The procedure was done using four 12 mm ports as shown in Figure 2.
Cyst surrounded by hypertonic saline-soaked pediatric laparotomy pads.
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fig3
The cyst was first surrounded with pads soaked in a scolicidal agent (20% hypertonic saline) (Figure 3), to protect the abdominal contents from contamination.
Aspiration of cyst contents and instillation of hypertonic saline.
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fig4
Approximately, 400 mL was aspirated from the cyst, which was then filled with 1 liter of 20% hypertonic saline (Figure 4).
Excision of cyst wall using a harmonic scalpel.
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fig5
The cyst was then opened and a portion of the cyst wall excised using a harmonic scalpel and endo-GIA stapler with 2.5 mm vascular loads (Figures 5 and 6).
Excision of cyst wall using endo-GIA stapler with 2.5 mm vascular loads.
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fig6
The cyst was then opened and a portion of the cyst wall excised using a harmonic scalpel and endo-GIA stapler with 2.5 mm vascular loads (Figures 5 and 6).