case_images: PMC5749200_01
case_images: Ultrasonography
case_images: JMAS-14-61-g001.jpg
case_images: PMC5749200_01_JMAS-14-61-g001.jpg
case_images: F1
case_images: Ultrasonography showed a 10 cm x 7 cm x 7 cm thick walled cyst in segment VIII of liver with multiple loculations, septations suggestive of daughter cysts and partially calcified cyst wall [Figure 1].
case_images: Contrast computed tomography scan
case_images: JMAS-14-61-g002.jpg
case_images: PMC5749200_01_JMAS-14-61-g002.jpg
case_images: F2
case_images: Contrast enhanced computed tomography (CT) shows a multiloculated cyst in the segment VIII of liver with calcification at multiple sites in the wall and humping of the diaphragm [Figure 2].
case_images: USG-guided puncture of cyst with a spinal needle
case_images: JMAS-14-61-g003.jpg
case_images: PMC5749200_01_JMAS-14-61-g003.jpg
case_images: F3
case_images: Ultrasonography [Figure 3] was to identify the cyst and a 18 Fr spinal needle was used to puncture the hydatid wall through the midaxillary line.
case_images: External Nephroscopic view of hydatid cyst membrane and daughter cysts
case_images: JMAS-14-61-g004.jpg
case_images: PMC5749200_01_JMAS-14-61-g004.jpg
case_images: F4
case_images: Amplatz sheath suction was then introduced in the cavity and fluid with pieces of hydatid membrane were sucked out. 3% normal saline (NS) was introduced into the cyst cavity and kept in for 20 min, then sucked out. A nephroscope was introduced into the cyst and the hydatid material was evacuated under vision [Figures 4 and 5].
case_images: Nephroscopic view of the hydatid cyst with membrane
case_images: JMAS-14-61-g005.jpg
case_images: PMC5749200_01_JMAS-14-61-g005.jpg
case_images: F5
case_images: Amplatz sheath suction was then introduced in the cavity and fluid with pieces of hydatid membrane were sucked out. 3% normal saline (NS) was introduced into the cyst cavity and kept in for 20 min, then sucked out. A nephroscope was introduced into the cyst and the hydatid material was evacuated under vision [Figures 4 and 5].