Fig. 2.

(A) Pericardial cyst being incised after injection of diluted 5% povidone iodine into the pericardial cystic cavity. Clear fluid under pressure being sucked out. (B) The thickened pericardium is being incised to expose the heart. The bands between the pericardium and the epicardium are shown, which are remnants of the smaller secondary hydatid cysts, and are being dissected and excised along with fibrous pericardium to expose the clean epicardial surface (shown by transparent white arrow in the figure C and D in the right hand corners). (C) Shows the liver cyst after clearance. (D) Shows omentum tuked into the liver cyst as shown by the black bordered white arrow. The divided costal arch (transparent black arrows in both C and D) with the attached diaphragm separating the liver and the heart shown, before thoracoabdominal wound closure.