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Pathology
Cysts due to echinococcus granulosa.
Aetiology
Consider in UK farmers, endemic in the Mediterranean, Australia, New Zealand, the Middle East, South America, Iceland and part of Africa.
Signs
Hepatomegaly
Symptoms
Can be asymptomatic, right upper quadrant pain
Investigations
Imaging: Ultrasound Abdomen may show hepatic cysts
Microbiology: Hydatid serology positive
Treatment
Conservative: No treatment if asymptomatic
Medical: Albendazole
Surgical: Incision and Drainage
Prognosis
Prognosis is generally good with surgical input
Infection, rupture of biliary tree
Key Facts
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Key Images
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Key References
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