Images in Clinical Medicine

By Dr. Anoop TM , Dr. PK Jabbar
Corresponding Author Dr. Anoop TM
Department of Medicine, Kottayam Medical College, Kerala, - India
Submitting Author Dr. Anoop TM
Other Authors Dr. PK Jabbar
Department of medicine,Kottayam medical college,Kerala,India, - India


Hydatid Diseases

TM A, Jabbar P. Giant Hydatid Liver. WebmedCentral GENERAL MEDICINE 2010;1(9):WMC00529
doi: 10.9754/journal.wmc.2010.00529
Submitted on: 07 Sep 2010 04:23:33 PM GMT
Published on: 06 Sep 2010 08:51:30 PM GMT

Image in Clinical medicine

A 55 year old female presented with one month history of intermittent right upper quadrant and epigastric pain, fullness and generalised fatigue. The symptoms became progressively worse over the last one week along with nausea and vomiting. She had no significant past medical illness.
On clinical examination, a right upper quadrant, firm and non tender mass was palpable, approximately 15 cm in diameter.
The complete hemogram, renal and liver function tests were all within normal limits. Ultrasonography showed an enlarged enlarged liver with septations and a daughter cysts within right lobe. The computed tomogram of abdomen revealed a large complex multicystic lesion of size 13.6 x 11.7 x 11.3 cm (volume 940 cc) with numerous internal echoes in right & caudate lobes of liver and a daughter cyst with in it (Panel A & Panel B).The patient refused to undergo any surgical procedure. She was discharged from the clinic with Albendazole 400 mg twice a day for 6 weeks and patient did not come return for follow up.
Hydatid diseases is a parasitic infection caused by the cestode tapeworm Echinoccocus granulosus. The dogs are the definitive host. In humans the hydatid disease commonly involves the liver (75%) and the lungs (15%). Humans get infected by contact with the definitive host. Surgery is the mainstay of treatment for hydatid cysts of the liver.

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3 reviews posted so far

where are the images?
Posted by Dr. Pegah Mosannen-Mozafari on 19 Apr 2011 09:37:28 AM GMT

Giant Hydatid Liver
Posted by Dr. Umashankar Lakshmanadoss on 06 Mar 2011 06:41:14 AM GMT

Hydatid Liver
Posted by Dr. Gocan H on 31 Jan 2011 10:26:58 AM GMT

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WebmedCentral Article: Giant Hydatid Liver

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