Cyclist: slightly foxed

BMJ Case Rep. 2013 Apr 10:2013:bcr2013008964. doi: 10.1136/bcr-2013-008964.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Albendazole / therapeutic use
  • Animals
  • Anthelmintics / therapeutic use
  • Diagnostic Imaging
  • Echinococcosis, Hepatic / diagnosis*
  • Echinococcosis, Hepatic / drug therapy
  • Echinococcosis, Hepatic / parasitology*
  • Echinococcus multilocularis / isolation & purification*
  • Enzyme-Linked Immunosorbent Assay
  • Humans
  • Liver Function Tests
  • Male

Substances

  • Anthelmintics
  • Albendazole