BMJ Case Reports 2013; doi:10.1136/bcr-2013-008964

Cyclist: slightly foxed

  1. Mark Wilkinson2
  1. 1Department of Gastroenterology, St Thomas’ Hospital, London, UK
  2. 2Department of Gastroenterology, Guys and St Thomas’ Hospital, London, UK
  3. 3Department of Radiology, St Thomas’ Hospital, London, UK
  1. Correspondence to Dr Rishi Goel, rgoel50{at}


Abnormal liver function tests (LFTs) are a common cause for referral to hepatology outpatient departments. Cross-sectional imaging may reveal a liver lesion. We report the case of a 33-year-old man who presented with abdominal pain and deranged LFTs and was found to have a large liver cyst on ultrasound scanning. Specific Echinococcus multilocularis serology testing was positive and he underwent triple phase CT, MRI and positron emission tomography-CT to further characterise the lesion. He was treated with long-term albendazole with subsequent improvement in symptoms, blood results and cyst size on follow-up imaging.

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