PMC7372154_01
Echographic image in the subxiphoid view showing a large pericardial effusion containing daughter vesicles.
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In addition, transthoracic echocardiography (TTE) showed a large circumferential pericardial effusion with intrapericardial vesicles (Fig. 1) and a hepato-pericardial fistula appearance.
Thoracic CT angiography in coronal section, showing the hydatid cyst of segment II communicating with the pericardium through a thin aperture causing a large pericardial effusion.
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The hydatid cyst of segment II communicates with the pericardium through a thin aperture causing a large pericardial effusion (Fig. 2).
Perioperative view showing the thickened pericardium.
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The perioperative assessment revealed a thickened pericardium (Fig. 3) and the daughter vesicles were evident at the fistula in the left diaphragmatic side of the pericardium (Fig. 4).
An image of the liver hydatid cyst after surgical resection.
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The procedure consisted of a resection of the hydatid cyst of segment IV of the liver with the protruding dome of the segment II of the liver (Fig. 5).