Monday, May 20, 2013

Case of the week 258

The following case was donated by Drs. Stephanie Slemp, Nicole Hubbard, Morgan McCoy, Ryan Relich, and Bryan Schmitt.

The following liver mass was resected from a 20 year old man.  The man had recently immigrated to the U.S. from South America.  Below is a cross-section of the lesion.  While awaiting the histopathology, what is your differential diagnosis from the gross exam?

6 comments:

  1. Hydatid cyst (echinococcus)?
    CP from Vt

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  2. Hydatid cyst, probably e granules is given geography and clear separation of cyst and liver

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  3. I can only go with the two previous responses.

    Florida Fan

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  4. Hydatid cyst of liver-Echinococcus sp.(looks like tender coconut:-)

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  5. I would add E. histolytica.
    BW in Vt

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  6. I think to see Ascaris worms, on the top you can distinguish the curl in the tail of a adult male

    Hans Naus

    P.s. Ent. histolytica is seen as brown pus

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