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J Obes Eat Disord, 2017
ISSN: 2471-8203
August 23-24, 2017 | Toronto, Canada
allied
academies
INTERNATIONAL OBESITY, BARIATRIC AND
METABOLIC SURGERY SUMMIT AND EXPO
A
81 years old lady, presented with anorexia and severe
epigastric pain for 2 weeks. It was of gradual onset and
slowly progressive course, dull aching in character, and
was associated with vomiting and jaundice. There was no
GI.bleeding or change in bowl hobbits. There was no history
of ascites, or any other abdominal swellings, Inaddition , there
was no constitutional manifestations like night sweat, night
fever, Her HBA1C was 5.8%. At presentation ECG revealed
no abnormalities however Abdominal ultrasound was done
and revealed mild bright hepatomegaly with hypoechoic
left lobe hepatic focal lesion at segment II, about (7x6.8cm)
with multiple calcifications (hydatid disease??) and chronic
calcular cholecystitis with normal spleen and no ascites.
Subsequently, AFP and hydatid serology was requested and
the results were 1.11 mg/ml and 1/80 respectively. Triphasic
CT was also done and revealed a left hepatic lobe segment II
hypodense focal lesion (8x7 cm) with no contrast enhanced
at all phases of study and calcular gall bladder. The patient
received Albendazole and UDCA t.d.s for 4 weeks then follow
up ultrasound was done and revealed a hypoechoic hepatic
focal lesion (10x8.6 cm) with calcifications suggesting hydatid
diseases with normal spleen and no ascites, one month
latter follow up ultrasound was done revealed the same left
lobe hepatic focal lesion but measuring (8x6 cm). The patient
continued the same treatment and ultrasound revealed
decreasing size of the hepatic focal lesion to (7x5 cm) and
later on after 6 weeks, it reached (2x2 cm) with decreasing
ESR and hydatid serology was negative.The patients in now
symptom free and kept on follow up.
Speaker Biography
MostafaMostafaElkady ,M.D iscurrentlyaProfessorandChairmanofGastroenterology
Department, Faculty of medicine, Benha University, Egypt, in addition to Research and
Clinical Fellow in Gastroenterology Division TTH, University of Toronto, Canada (1994-
1995), He is a Member of EASD NAFLD Group, Member of Colleague of Physician and
Surgeons of Ontario, Member of the Royal Society of Tropical Medicine and Hygiene.
And Currently he is a Consultant of Gastroenterology and Diabetology at Police
Hospital Cairo Egypt. He is also a reviewer for Digestive Disease and Science.
e:
mostafaelkady
@hotmail.comMostafa S Elkady, J Obes Eat Disord, 3:2
DOI: 10.21767/2471-8203-C1-002
A dramatic response to albendazole in a case of a large hepatic focal lesion mimicking hepatocellular
carcinoma
Mostafa S Elkady
Benha University, Egypt