Presentation
Abdominal pain
Patient Data







There is a large necrotic mass with irregular margins measuring 13.0 x 11.0 x 14.0 cm, with diffuse involvement of the right liver lobe. In the venous phase, there is no accumulation of contrast agent.
There are no calcifications and no extension into the hepatic portal vein.

After surgery, histology confirms the diagnosis - hepatic alveolar echinococcosis.
Case Discussion
Hepatic alveolar echinococcosis is a very rare but aggressive and invasive form of hepatic hydatid disease caused by Echinococcus multilocularis. It presents with a wide variety of CT morphological manifestations. In this case, it shows infiltrative growth into the liver parenchyma.