Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic abdominal pain, hepatomegaly, and constitutional symptoms. History significant for residence or travel in endemic regions of Central/South America. Symptoms include RUQ discomfort, jaundice, or signs of portal hypertension. No history of recent trauma.
Clinical Examination Findings
Abdominal examination reveals hepatomegaly with palpable, firm, or cystic masses. Percussion may indicate dullness over the liver. Signs of ascites or collateral circulation (caput medusae) noted if portal hypertension is present. Jaundice may be observed in cases of biliary obstruction.
Treatment Protocol
Management involves long-term Albendazole therapy (10-15 mg/kg/day). Surgical intervention (cystectomy or resection) is indicated for symptomatic polycystic lesions. Percutaneous drainage (PAIR) is generally contraindicated due to the multivesicular nature of E. vogeli. Monitor LFTs and CBC regularly.