PMC5872651_01
Noncontrast CT scan showing a giant cyst of the liver.
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fig1
Ultrasonography showed a maternal right liver lobe hydatid cyst measuring 14 x 16 cm, and CT scan revealed a large sizable hypodense cystic lesion of about 150 x 150 x 200 mm in AP x TS x CC dimensions, respectively, with multiple septations inside, being mainly in the right lobe, with peripheral calcific wall seen laterally with normal liver parenchyma (Figure 1), occupying almost the whole right lobe of the liver, exerting a mass effect in the form of right kidney, right renal vasculature, and IVC compression with no invasion in addition to medial displacement of the duodenum and midline structures.
Multiple cysts postoperatively.
CRIM2018-9614874.002.jpg
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fig2
Exploratory laparotomy was done, and evacuation of a large hydatid cyst with deroofing was done by the standard protocol (Figure 2).