case_images: PMC7475761_01
case_images: Massive hepatomegaly on clinical examination and ultrasonography showing 3 giant (>= 10 cm) cysts involving both the liver lobes.
case_images: CRIPE2020-6196252.001.jpg
case_images: PMC7475761_01_CRIPE2020-6196252.001.jpg
case_images: fig1
case_images: Physical examination revealed massive hepatomegaly, and ultrasonography showed 3 giant (>=10 cm) cysts involving both the liver lobes as shown in Figure 1.
case_images: Abdominal CT scan showing multiple cysts with floating membranes in hepatic segments 2, 3, 6, and 7 with features favoring hydatid etiology.
case_images: CRIPE2020-6196252.002.jpg
case_images: PMC7475761_01_CRIPE2020-6196252.002.jpg
case_images: fig2
case_images: Intraoperative appearance of multiple liver hydatid cysts.
case_images: CRIPE2020-6196252.003.jpg
case_images: PMC7475761_01_CRIPE2020-6196252.003.jpg
case_images: fig3
case_images: Following 3 weeks of oral albendazole therapy (10 mg/kg/day in 2 divided doses), he underwent laparotomy with cyst aspiration as shown in Figure 3.
case_images: Contents of fluid aspirates from the hepatic hydatid cysts grossly and under microscopy showing free hooklets.
case_images: CRIPE2020-6196252.004.jpg
case_images: PMC7475761_01_CRIPE2020-6196252.004.jpg
case_images: fig4
case_images: Aspiration revealed clear fluid from the 2 subphrenic cysts and bile-stained aspirates from the cyst over the under surface of the liver, cytology of which showed free hooklets as shown in Figure 4.
case_images: Non-bile-stained membranes within the subphrenic cysts and bile-stained ones in the cyst over the under surface of the liver.
case_images: CRIPE2020-6196252.005.jpg
case_images: PMC7475761_01_CRIPE2020-6196252.005.jpg
case_images: fig5
case_images: The cysts were then opened, membranes evacuated as shown in Figure 5, and a careful search for a cyst-biliary communication was done, but not found.
case_images: Histopathological appearance of the membranes showing laminated cuticular layer with protoscolex of Echinococcus granulosus.
case_images: CRIPE2020-6196252.006.jpg
case_images: PMC7475761_01_CRIPE2020-6196252.006.jpg
case_images: fig6