case_images: PMC11021106_01
case_images: Computed tomography brain (a) axial, (b) coronal, and (c) sagittal cuts showing ill-defined hypodensity in the right posterior temporal region with a moderate amount of surrounding edema, exerting loco-regional sulcal and ventricular effacement.
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case_images: PMC11021106_01_SNI-15-99-g001.jpg
case_images: F1
case_images: Brain imaging revealed a solitary cystic lesion in the right temporal region, extending into the temporal horn of the right lateral ventricle and surrounded by mild edema [Figures 1 and 2].
case_images: Magnetic resonance imaging brain (a) axial T2, (b) gradient echo, (c) diffusion-weighted imaging, (d) apparent diffusion co-efficient, (e) axial T1 postcontrast, (f) coronal T1 postcontrast, and (g) sagittal T1 postcontrast images showed an intra-axial cystic lesion in the right posterior temporal lobe with enhanced smooth undulating margins and marked surrounding vasogenic edema causing compressive mass effect on the temporal horn of right lateral ventricle, demonstrate high T2/fluid-attenuated inversion recovery, iso on T1 with peripheral wall enhancement, however, no significant restricted diffusion or blooming artifacts, approximately measuring 3.4 x 2.6 cm in anterior-posterior and transverse (AP and Ts) diameters. The rest of the brain parenchyma shows normal signal intensity with preserved gray-white matter differentiation.
case_images: SNI-15-99-g002.jpg
case_images: PMC11021106_01_SNI-15-99-g002.jpg
case_images: F2
case_images: Brain imaging revealed a solitary cystic lesion in the right temporal region, extending into the temporal horn of the right lateral ventricle and surrounded by mild edema [Figures 1 and 2].
case_images: (a) Computed tomography abdomen, (b) chest, and (c) magnetic resonance imaging abdomen showing diffuse non-specific variable sized hepatic/splenic cystic lesions with similar bilateral innumerable pulmonary nodules/cysts, some of them showed definite cavitations.
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case_images: F3
case_images: The CT scan [Figure 3] showed diffuse non-specific cystic lesions in the liver and spleen, as well as numerous pulmonary nodules/cysts.
case_images: Intraoperative image showing (a) the dissection and (b) the excised cyst over the surgical gauze.
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case_images: F4
case_images: The cyst, measuring 3.0 x 3.0 x 1.0 cm, was successfully excised without rupture using microsurgical techniques [Figure 4].
case_images: Light microscopy of the cyst fluid (wet mount) demonstrating many protoscolices of Echinococcus granulosus with rows of hooks and numerous free detached hooks with refractile structures.
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case_images: F5
case_images: Cyst fluid was examined microscopically, revealing protoscolices of E. granulosus with hooks and refractile structures [Figure 5].
case_images: Microscopic examination (hematoxylin and eosin stain x10) of the cyst shows a laminated acellular wall with a nucleated germinal layer.
case_images: SNI-15-99-g006.jpg
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case_images: F6
case_images: Histopathological examination confirmed the diagnosis of a hydatid cyst [Figure 6].
case_images: Post right temporoparietal craniotomy and right temporal cystic lesion resection. Apparent complete resection of the lesion with expected post operative pneumocephalus and surgical bed hemorrhagic changes.
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case_images: PMC11021106_01_SNI-15-99-g007.jpg
case_images: F7
case_images: Postoperatively, the patient showed significant improvement in symptoms, and follow-up imaging confirmed complete resection of the cyst without complications [Figures 7 and 8].
case_images: A follow-up magnetic resonance imaging brain done after 3 months (a) axial T1 postcontrast, (b) coronal T1 postcontrast, (c) sagittal T1 postcontrast, (d) axial T2, (e) Diffusion-weighted imaging, and (f) apparent diffusion co-efficient showed complete resection of the lesion with no evidence of recurrence.
case_images: SNI-15-99-g008.jpg
case_images: PMC11021106_01_SNI-15-99-g008.jpg
case_images: F8
case_images: Postoperatively, the patient showed significant improvement in symptoms, and follow-up imaging confirmed complete resection of the cyst without complications [Figures 7 and 8].