July 26th, 2020
Hepatic echinococcosis is a widely endemic zoonosis most commonly caused by Echinococcus granulosus, a cestode found in the small intestines of canids. Livestock and humans are intermediate hosts that can develop cystic echinococcosis (CE) after ingesting worm eggs.
Right upper quadrant pain
Hepatic CE can lead to right upper quadrant (RUQ) pain. This is due to capsular distension caused by the mass effect of cyst growth.
Right upper quadrant mass
Some patients with hepatic CE may present with a palpable RUQ mass depending on the size and location of the cysts.
Patients with hepatic CE may present with jaundice due to compression of the bile ducts resulting in hyperbilirubinemia.
Patients with hepatic CE can present with intense itching. This occurs when bile obstruction leads to direct hyperbilirubinemia and consequent accumulation of pruritogens in the systemic circulation.
Patients with CE may present with pulmonary symptoms, such as pleuritic chest pain, dyspnea, hemoptysis, and chronic cough. This happens when cysts develop in the lungs, exerting pressure on nearby structures and creating a local inflammatory response.
Patients with CE are often asymptomatic for many years.