E case -2

ESI-PGIMSR And Model Hospital Andheri (East),

Mumbai

Case history

• A 39 year old female patient c\o – left upper abdomen pain since one and a half years. The pain was

continuous, dull aching – with lump in abdomen since 2 months.

• On physical examination, abdomen was distended with a tender, palpable mass in the left hypochondriac region

• The abdominal USG: multiloculated cystic lesion in the left hypochondriac region.

• Abdominal CT scan showed multiple, complex, cystic hypodense lesions in spleen.

• Splenectomy was done.

Gross

.

Centrifuged deposits from the fluid aspirated from the cysts showed the following structures.

Giemsa stain

Pap stain