This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Not an indication for PAIR treatment in hydatid cyst 
Select and explain. 
A. Size > 5 cm, B. Multiloculated, C. Cyst in lung, D. Recurrence after surgery
D: Recurrence after surgery
Answer: D: Recurrence after surgery 
Explanation: INDICATIONS for PAIR (Puncture-Aspiration-Injection -and Reaspiration) .Inoperable patients * Patients who refuse surgery * CL, CE 1, CE 2 and CE 3 types * Anaphylaxis - 0.1 - 0.2% * Relapse cysts * Infected cysts * In pregnant women; * Cysts more than 5 cm in trolled by antibiotics different liver segments * Local recurrences - 4% - repeat PAIR can be done. ref: SRB&;S manual of surgery, ed 3, pg no 536