A 41-year-old patient, a hunter, complains of heaviness in the right subcostal area. No other complaints recorded. Anamnesis states causeless urticaria and skin itching that occurred 1 year ago. Objectively: liver margin is rounded, painless, and can be palpated 3 cm below the costal arch. No other pathology was detected during physical examination of the patient. Body temperature is normal. X-ray reveals a hemispherical protrusion in the right cupula of the diaphragm. What disease can be suspected in the given case?

Answer options

1. Hydatid disease of liver
2. Liver abscess
3. Metastatic tumor
4. Hepatocellular carcinoma
5. Subdiaphragmatic abscess

Explanation

The hydatic cyst occurs by accidental infection of the human with the eggs of Echinococcus granuloses, followed by the development of the larvae, most commonly in the liver (50-70% of cases), and less commonly in the lungs, spleen, kidneys, and brain. Echinococcus is a parasitic disease of tapeworms of the echinococcus type. The alveolar disease usually begins in the liver but can spread to other parts of the body, such as the lungs or brain. When the liver is affected, the person may have abdominal pain, weight loss, and turn slightly yellow from jaundice.