case_images: PMC6036530_01
case_images: Anterior view of thoracic cavity (left upper) and Liver (right upper), cysts in right atrium and Inferior vena cava (left and right lower
case_images: emerg-6-e20-g001.jpg
case_images: PMC6036530_01_emerg-6-e20-g001.jpg
case_images: F1
case_images: The pleural cavities had no fluid or adhesion; however, dilated vein was noticed on the surface of left lung (figure 1). While cutting large arteries and large veins of the heart, multiple cysts (well defined, bubble shaped, round objects covered by shiny white membrane) 3 cm in diameter started to emerge rapidly and were extracted from inferior Vena Cava vein and right chambers of the heart (figure 1). The surface was course and adhesion bands to near structures made it hard to remove the organ en bloc (figure 1). By removing the liver a lot of cysts came out of inferior vena cava and occupied the abdomen cavity gall bladder, and spleen (Figure 1).