Fig. 1From: Roux En Y drainage of a large hepatic hydatid cyst as treatment for recalcitrant bile leak: a case reportCECT abdomen—large thin walled, homogeneous cystic lesion, completely replacing segments VI, VII, and VIII, with no contrast enhancement (a). On re-exploration, sub-hepatic collection was drained and the cyst cavity was opened up. No active bile seepage noted and thorough lavage given (b). Roux limb: 40 cm distal to duodeno-jejunal flexure, jejunal loop divided, and mobilized through the transverse mesocolon up to the cystic cavity. The mobilized jejunal limb sutured (cysto-jejunostomy) to the cystic margin (single-layered, hand sewn, interrupted) using vicryl 4-0 (c)Back to article page