Visualisation of hydatid membranes in a liver cyst during intervention is a rare image. We present a 10 year old boy presented with progressively enlarging lump in right hypochondrium with intermittent fever for last 4 years. Serology and computed tomography (Fig. 1A) were suggestive of liver echinococcosis (water-lily sign). The patient was a candidate for PAIR (puncture, aspiration, injection and re-aspiration) procedure. A whirl of floating membranes were seen during the aspiration phase (Fig. 1B). Scoleces were visible on microscopic examination of the fluid. 300ml of 20% hypertonic saline was injected. Patient responded to the radiological intervention and 3 months of oral albendazole therapy. He remains asymptomatic till 60 months follow-up.
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(B) PAIR procedure showing floating membranes (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Visualisation of hydatid membranes in a liver cyst during intervention is a rare image. We present a 10 year old boy presented with progressively enlarging lump in right hypochondrium with intermittent fever for last 4 years. Serology and computed tomography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) were suggestive of liver echinococcosis (water-lily sign). The patient was a candidate for PAIR (puncture, aspiration, injection and re-aspiration) procedure. A whirl of floating membranes were seen during the aspiration phase (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Scoleces were visible on microscopic examination of the fluid. 300<span class="elsevierStyleHsp" style=""></span>ml of 20% hypertonic saline was injected. Patient responded to the radiological intervention and 3 months of oral albendazole therapy. He remains asymptomatic till 60 months follow-up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 544 "Ancho" => 1250 "Tamanyo" => 84730 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed tomography showing large cyst in liver with water-lily sign (arrow) and areas of central hypoattentuation (daughter cysts). (B) PAIR procedure showing floating membranes (arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004500000009/v2_202301300757/S2444382422001663/v2_202301300757/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004500000009/v2_202301300757/S2444382422001663/v2_202301300757/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382422001663?idApp=UINPBA00004N" ]
