title: Cyclist: slightly foxed.
abstract: Abnormal liver function tests (LFTs) are a common cause for referral to hepatology outpatient departments. Cross-sectional imaging may reveal a liver lesion. We report the case of a 33-year-old man who presented with abdominal pain and deranged LFTs and was found to have a large liver cyst on ultrasound scanning. Specific Echinococcus multilocularis serology testing was positive and he underwent triple phase CT, MRI and positron emission tomography-CT to further characterise the lesion. He was treated with long-term albendazole with subsequent improvement in symptoms, blood results and cyst size on follow-up imaging.
authors.affiliation: Department of Gastroenterology, St Thomas' Hospital, London, UK. rgoel50@hotmail.com
authors.forename: Rishi
authors.initials: R
authors.lastname: Goel
authors.forename: Shophia
authors.initials: S
authors.lastname: Kuganolipava
authors.forename: Miltiadis
authors.initials: M
authors.lastname: Krokiadis
authors.forename: Mark
authors.initials: M
authors.lastname: Wilkinson
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D003952:Diagnostic Imaging; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology*; D048210:Echinococcus multilocularis / Q000302:isolation & purification*; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D008111:Liver Function Tests; D008297:Male
chemical_list: D000871:Anthelmintics; D015766:Albendazole