A 37-year-old man was evaluated for a 6-month history of upper abdominal pain with weight loss. Physical examination revealed a palpable mass at the left lobe of the liver. There was no associated fever or chills. Laboratory data showed a mild elevation of serum ALT (117 U/l), direct bilirubin (1.8mg/dl), and white blood cells (11.7 x 109/l).
He underwent abdominal contrast-enhanced phase multi-detector computed tomography and the axial and coronal views (figs. 1A and B) demonstrated a large 16.3cm formation that had completely replaced the left lobe of the liver, with a dense central area and multiple low-attenuation round vesicles located peripherally and delimitated by linear membranes. Diagnosis was hydatid cyst of the left lobe of the liver, with the mother cyst in the centre and the daughter vesicles in the peripheral location. The presence of the specific antibody to the echinococcus antigen confirmed the radiological diagnosis. The patient underwent medical and surgical therapy.
Ethical responsibilitiesProtection of persons and animals
The authors declare that no experiments on humans or animals were carried out in relation to this study.
Data confidentialityThe authors declare that no patient data appear in this article.
Right to privacy and informed consentThe authors declare that no patient data appear in this article.
Financial disclosureNo financial support was received in relation to this study/article.
Conflict of interestThe authors declare that there is no conflict of interest.
Please cite this article as: Rossi UG, Rubis Passoni G, Cariati M. Quiste hidatídico hepático. Revista de Gastroenterología de México. 2016;82:105–106.
