A female patient has been suffering from pain in the right subcostal area, bitter taste in the mouth, periodical bile vomiting for a month. The patient put off 12 kg. Body temperature in the evening is 37,6°C. Sonography revealed that bile bladder was 5,5x2,7 cm large, its wall -0,4 cm, choledochus - 0,8 cm in diameter. Anterior liver segment contains a roundish hypoechoic formation up to 5 cm in diameter and another two up to 1,5 cm each, walls of these formations are up to 0,3 cm thick. What is the most likely diagnosis?

Answer options

1. Cystous liver cancer
2. Liver cancer
3. Paravesical liver abscesses
4. Liver abscess
5. Alveolar echinococcus of liver

Explanation

A female patient has been suffering from pain in the right subcostal area, bitter taste in the mouth, periodical bile vomiting for a month. The patient put off 12 kg. Body temperature in the evening is 37,6°C. Sonography revealed that bile bladder was 5,5x2,7 cm large, its wall -0,4 cm, choledochus - 0,8 cm in diameter. Anterior liver segment contains a roundish hypoechoic formation up to 5 cm in diameter and another two up to 1,5 cm each, walls of these formations are up to 0,3 cm thick. What is the most probable diagnosis? Echinococcosis, also called hydatid disease, is a parasitic disease of tapeworms of the Echinococcus type. The two main types of the disease are alveolar echinococcosis and cystic echinococcosis. USG show multiple hypo-echoic cyst-like formations.