RESUMO
A 29-year-old housewife presented with abdominal pain and abnormal results on liver function tests [table 1]. The patient was from a rural area [Garmsar, Iran] and there was no family history of a similar disease. Her family owned various animals most notably jackals, dogs, and cats. The animals were not receiving regular veterinary check-ups, preventive care, or even vaccinations. The patient underwent a liver sonography and multiple echogenic liver cysts were reported. Consequently, an abdominal CT scan was done which showed multiple cysts in her liver [figure 1]. The radiological findings suggested multiple cystic lesions of the liver and patient's history raised the suspicion of hydatid disease. To confirm this diagnosis, a serological study of IgG ELISA for echinococcal antigens was done which yielded positive results. A surgical consultation was done; however, the medical treatment was selected by the patient. Therefore, treatment with albendazole was started