Eozinofili, poliklonal gamma globulin artisi, karacigerin büyük bir bölümünü kaplayan, sag sürrenal bez ve sag böbrege lokal invazyon gösteren bir kitle ve her iki akcigerde metastatik lezyonlarla basvuran 51 yasinda bir erkek hasta sunulmaktadir. Agri’dan gelen hastada alveolar hidatik kist tanisi, tomografide karacigerdeki kitlede karakteristik kalsifikasyonlar ve pozitif serolojik bulgular esliginde perkütan karaciger igne biyopsisiyle histopatolojik olarak kesinlestirilmistir. Bu olgu sunumuyla, gerek klinik ve gerekse de radyolojik olarak hepatosellüler karsinomla kari sabilecek alveolar hidatik kist hastaliginin, intrahepatik solid kitlelerin ayirici tanisinda düsünülmesi gerektigi vurgulanmistir. Bu ayrim, sözkonusu parazitin Türkiye’nin Dogu ve Kuzeydogu Anadolu Bölgesi’nde endemik olarak görüldügüne iliskin veriler isiginda daha da önem kazanmaktadi r.
We report a 51-year-old male patient from the city of Agr› presenting with eosinophilia, increased polyclonal gamma globulin levels, a mass involving most of the liver and with local invasion of right adrenal gland and right kidney, and metastatic lesions in both lungs. The diagnosis of alveolar hydatid disease, associated with a mass in the liver with characteristic calcifications demonstrated by CT, was confirmed by the histopathological examination of the percutaneous liver biopsy specimen and by positive serological findings. With this case report, we emphasize that alveolar hydatid disease of the liver, which may be confused with hepatocellular carcinoma in clinical and radiological aspects, must be kept in mind in the differential diagnosis of intrahepatic solid lesions. This distinction has gained further importance in the light of data indicating that this infestation is encountered endemically in the regions of east and northeast Anatolia in Turkey