A Case of Granular Echinococcosis of the Liver

The incidence of once-rare granular echinococcosis of the liver has recently increased and moved away from endemic areas. We report a case of granular echinococcosis of the liver. A 55-year-old Peruvian woman admitted for fever and abdominal pain was admitted with hypotension, tachycardia, hyperthermia, tenderness in the right-upper abdomen, and whole-body redness and itching. Blood studies showed mildly elevated LDH and hypoxia. Abdominal US, CT, and MRI showed an 8 cm cyst in the left lobe of the liver. Suspecting a liver abscess, we conducted US-guided abscess drainage . We detected echinococcus granulosus in the cloudy yellow-brown fluid aspirated from the abscess. We prescribed Albendazole for 2 weeks, then conducted left hepatic lateral segmentectomy. In suspected liver abscess or cyst, we must keep this disease in mind, diagnosing and treating such cases carefully.