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Miscellanea
Images in paediatrics
Alveolar echinococcosis in the liver of an adolescent boy
  1. Ines Mack1,
  2. Barbara Wildhaber2,
  3. Veit Vassen3,
  4. Nicole Ritz1,4
  1. 1 Pediatric Infectious Diseases and Vaccinology, University of Basel Children’s Hospital, Basel, Switzerland
  2. 2 University Center of Pediatric Surgery of Western Switzerland, Geneva University Hospitals, Geneva, Switzerland
  3. 3 Pediatric Radiology, University of Basel Children’s Hospital, Basel, Switzerland
  4. 4 Department of Pediatrics, The University of Melbourne, Melbourne, Victoria, Australia
  1. Correspondence to Dr Ines Mack, Pediatric Infectious Diseases and Vaccinology, University of Basel Children’s Hospital, Basel 4056, Switzerland; ines.mack{at}ukbb.ch

https://doi.org/10.1136/archdischild-2018-314990

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    Case report

    A 12-year-old farmer’s boy presented with 4 weeks of left flank pain. On examination, a palpable mass below the right costal margin was noted. Investigations, including full blood count, C-reactive protein, and kidney and liver tests, were normal, except for mild eosinophilia (0.53×109/L). Immunological work-up was normal including immunoglobulins, lymphocyte subsets and serology for HIV. Ultrasonography and abdominal CT revealed an extensive lesion originating from segment V/VI to segment VIII with encasement and stenosis of the portal vein (figure 1). The boy reported contact with animals on the family’s farm, such as dogs …

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    Footnotes

    • Contributors Conception or design of the work: IM, NR. Data collection: IM, NR, VV. Data analysis and interpretation: IM, NR, BW, VV. Drafting the article: IM, NR. Final approval of the version to be published: IM, BW, VV, NR.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.