case_images: PMC3431058_01
case_images: Preoperative swelling in right paraumbilical region.
case_images: CRIM.SURGERY2012-583294.001.jpg
case_images: PMC3431058_01_CRIM.SURGERY2012-583294.001.jpg
case_images: fig1
case_images: A 60-year-old woman presented with swelling in right paraumbilical region evolving over a year (Figure 1).
case_images: CECT showing large subcutaneous cyst with muscular extension and intact peritoneum.
case_images: CRIM.SURGERY2012-583294.002.jpg
case_images: PMC3431058_01_CRIM.SURGERY2012-583294.002.jpg
case_images: fig2
case_images: Abdominal contrast enhanced computer tomography showed a predominantly subcutaneous cystic swelling with intra muscular extension without breach of peritoneum (Figure 2).
case_images: CECT Cyst with internal undulating septae.
case_images: CRIM.SURGERY2012-583294.003.jpg
case_images: PMC3431058_01_CRIM.SURGERY2012-583294.003.jpg
case_images: fig3
case_images: The cyst showed internal undulating septae (Figure 3).
case_images: Intraoperative subcutaneous cyst.
case_images: CRIM.SURGERY2012-583294.004.jpg
case_images: PMC3431058_01_CRIM.SURGERY2012-583294.004.jpg
case_images: fig4
case_images: Surgical exploration revealed a cystic mass arising from parietal wall upon dissection the cyst wall was found adherent to peritoneum to prevent rupture of cyst a part of peritoneum was also excised along with cyst wall (Figures 4 and 5).
case_images: Intraoperative cyst with extension into abdominal wall muscle.
case_images: CRIM.SURGERY2012-583294.005.jpg
case_images: PMC3431058_01_CRIM.SURGERY2012-583294.005.jpg
case_images: fig5
case_images: Surgical exploration revealed a cystic mass arising from parietal wall upon dissection the cyst wall was found adherent to peritoneum to prevent rupture of cyst a part of peritoneum was also excised along with cyst wall (Figures 4 and 5).
case_images: Specimen opened showing daughter cysts.
case_images: CRIM.SURGERY2012-583294.006.jpg
case_images: PMC3431058_01_CRIM.SURGERY2012-583294.006.jpg
case_images: fig6
case_images: The gross specimen on opening showed multiple daughter cysts and confirmed histopathologically as hydatid cyst (Figure 6).