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Hydatid disease of the liver
  1. DEMETRIOS PAPAIOANNIDES,
  2. ANTHOULA PAPAGIANNI
  1. Department of Internal Medicine, General Hospital of Arta, PO Box 92, 47 100 Arta, Greece
  2. Department of Internal Medicine, ‘Hatzikosta’ General Hospital, Makrygianni Avenue, 45 001 Ioannina, Greece
  1. Demetrios Papaioannides, PO Box 92, 47 100 Arta, Greece
  1. NIKOLAOS AKRITIDES
  1. Department of Internal Medicine, General Hospital of Arta, PO Box 92, 47 100 Arta, Greece
  2. Department of Internal Medicine, ‘Hatzikosta’ General Hospital, Makrygianni Avenue, 45 001 Ioannina, Greece
  1. Demetrios Papaioannides, PO Box 92, 47 100 Arta, Greece

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A 72-year-old Greek man was admitted to the hospital because of hepatomegaly and a mild elevation of serum liver enzymes. He complained of mild epigastric discomfort, especially after meals. Physical examination showed a moderately enlarged, firm, and nodular liver. His white cell count was 11.8 × 109/l, with 16% eosinophils. A computed tomographic (CT) scan of the liver (figure) revealed large cystic, lobulated structures with daughter cysts, a picture consistent with hydatid disease of the liver. Hydatid disease or echinococcosis was confirmed by a high antibody titer to hydatid antigen.

Figure CT scan of the liver

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