A Case of Hepatic Hydatids Causing Biliary Obstruction: A Case Report and Review of the Literature

A51-year-old white male presented to the emergency department of Strong Memorial Hospital in November with an abrupt onset of fever, and right sided chest and shoulder tip pain in the days preceding admission. He also had pale stool and dark urine. He denied nausea or vomiting but had noticed jaundice. His past medical history was significant for known HHD. He had previously had resection of an echinococcal cyst in May, 2000 and had been largely asymptomatic in the intervening 4 years. He had also been treated for 1 year (1999–2000) with lamivudine for chronic hepatitis B. He took no regular medications nor did he have any known drug allergies. Social history was revealing for an individual who had moved from Greece in 1970 and had worked as a property manager in the USA. He had a 20pack-year smoking history and had on occasion used nasal cocaine. He denied I.V. drug use and drank socially. He had returned to Greece in 2003 on vacation. A CASE TO REMEMBER