case_images: PMC11249983_01
case_images: Imaging prior to the treatment. On axial CT (a-h) and MRI (i-l) images with intravenous contrast, the BCAC (asterisk), inferior vena cava (IVC; yellow arrowhead), left hepatic vein (black arrow), middle hepatic vein (white arrow), right hepatic vein (blue arrow) and portal vein (green arrowhead) are shown. Because of the mass effect, there is a deviation in the middle and left hepatic veins as well as IVC compression at the hepatic level (yellow arrowhead).
case_images: SEMB-58-249-g001.jpg
case_images: PMC11249983_01_SEMB-58-249-g001.jpg
case_images: F1
case_images: The patient was diagnosed with a "hydatid cyst" based on an eccentric abdominal CT done about a year earlier (Fig. 1), and she was treated with albendazole.
case_images: CT-guided drainage of the lesion with a catheter.
case_images: SEMB-58-249-g002.jpg
case_images: PMC11249983_01_SEMB-58-249-g002.jpg
case_images: F2
case_images: Under the guidance of US and CT, the Seldinger procedure was used to insert a 10F diameter percutaneous drainage catheter into the lesion, which was identified as an abscess (Fig. 2).
case_images: Post-treatment magnetic resonance imaging shows the multiseptal and multiloculated cystic lesion. (a) axial T1 weighted imaging (WI), (b) T2-fat saturated image, (c) diffusion WI, (d) apparent diffusion coefficient, (e) contrast-enhanced axial plan, (f) coronal plan T2-WI.
case_images: SEMB-58-249-g003.jpg
case_images: PMC11249983_01_SEMB-58-249-g003.jpg
case_images: F3
case_images: Similar results were observed with CT and the magnetic resonance cholangiopancreatography (MRCP) examination, which was carried out to assess the link between the pancreas and the biliary system (Fig. 3).
case_images: Intraoperative images show (a) Biliary cyst adenoma (asterisk) compressing the right and left lobes and the caudate lobe in the central sector, (b) the area of previously placed drainage catheter at the junction of segment 4-8 (black arrow), (c) Inferior vena cava (long arrow) with portal vein (arrows head) isolated in the central sector, (d) Inferior view of the vena cava (long arrow) after resection.
case_images: SEMB-58-249-g004.jpg
case_images: PMC11249983_01_SEMB-58-249-g004.jpg
case_images: F4
case_images: Central hepatectomy and isolated caudate lobectomy were performed six times with the help of Pringle maneuver, preserving the right posterior segments (Fig. 4).