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EXTRAHEPATIC PELVIC ECHINOCOCCAL CYSTS MANAGED WITH LAPAROSCOPIC PUNCTURE, ASPIRATION, INJECTION, RE-ASPIRATION (PAIR) AND CYST EXCISION
Aleksandra Ogrodnik*, Indraneil Mukherjee, Dimitar Ranev, Karen E. Gibbs
Minimally Invasive Surgery, Staten Island University Hospital, Staten Island, NY

71-year-old female from Uzbekistan presents with right upper quadrant and pelvic pain for 1 week. CT of abdomen revealed a multiloculated 12x14x18cm liver cyst. MRI further delineated 3cm and 6cm pelvic cysts adjacent but separate from ovaries, also suspicious for hydatid disease. Echinococcus antibodies were positive. Albendazole was given for 3 months preop.
She underwent a laparoscopic PAIR. The pelvic floor was draped with 20% soaked saline gauze. The left cyst was punctured, aspirated, then injected with 20% saline for 15min then re-aspirated x 3 cycles. The whole cyst was then excised. The right cyst was too small for PAIR and was just excised. She tolerated the procedure well.


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