Images in Clinical Medicine

Kim Eagle, M.D., Editor

Hydatid Disease of the Liver

Sanjiv Chopra, M.D.

N Engl J Med 1993; 328:1461May 20, 1993

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Article

Figure 1 Hydatid Disease of the Liver.

A computed tomographic scan of the liver of a 57-year-old woman reveals large cystic, lobulated structures with daughter cysts, consistent with hydatid disease. The patient had severe abdominal pain and a markedly enlarged, firm, and nodular liver. Her white-cell count was 12,000 per cubic millimeter, with 45 percent eosinophils. A serologic test for echinococcal disease was positive.

Kim Eagle, M.D.

Sanjiv Chopra, M.D.
Beth Israel Hospital, Boston, MA 02215