35 years old female with abdomen swelling …

35 year old female patient presented with a swelling in right side of upper abdomen for last 5 years which is gradually increasing in size for last 5 years. There is no history of rapid increase in size of the swelling. Patient complains of occasional dull aching pain over the right upper of abdomen for last 2 years. No history of fever and no other systemic symptoms .There is no history of major ailment in the past. Patient used to keep pet dogs at home for long time.

On examination Patent looks healthy .On local examination of abdomen liver is enlarged 9 cm below the right costal margin in the right midclavicular line and a cystic swelling is palpable in relation to the liver 7cm ×5cm in size, non tender .No other mass is palpable. No free fluid in the abdomen and normal bowel sounds are audible.

Based on the above case, what is your differential diagnosis and diagnosis?

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Filed Under: Discussion

Tags: Abdominal swelling, liver enlargement, pseudocyst of pancreas