Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right upper quadrant (RUQ) discomfort, progressive jaundice, and unintentional weight loss. History significant for potential exposure to definitive hosts (foxes/dogs) or contaminated environment. Symptoms consistent with infiltrative, tumor-like hepatic mass. No history of acute trauma.
Clinical Examination Findings
Abdominal exam reveals hepatomegaly with a firm, irregular, non-tender mass palpable in the RUQ. Scleral icterus present. No signs of acute peritonitis. Auscultation reveals normal bowel sounds. Cardiovascular and pulmonary exams unremarkable.
Treatment Protocol
Initiate long-term Albendazole therapy (10-15 mg/kg/day). Surgical consultation for radical resection (if resectable) or palliative biliary stenting/drainage. Monitor liver function tests (LFTs) and complete blood count (CBC) every 2-4 weeks due to potential hepatotoxicity and bone marrow suppression.