Clinical review of liver hydatid disease and its unusual presentations in developing countries

  • Sandra Abi Fadel
  • Karl Asmar
  • Walid Faraj
  • Mohammad Khalife
  • Maurice Haddad
  • Fadi El-MerhiEmail author
Pictorial essay


Human hydatid cyst disease is an international public health issue that particularly affects the developing countries. In this article, we discuss the epidemiology of hydatid disease in third world countries, the life cycle of echinococcus granulosus and how to make the clinical diagnosis of the disease, including laboratory tests and imaging modalities as well as uncommon presentation of this entity that we have encountered at the American University of Beirut Medical Center (AUBMC). We emphasize on the new World Health Organization classification of hepatic echinococcosis with examples from our clinical practice at AUBMC, and finally we describe the treatment, including medical and interventional therapies.


Hydatid Echinococcus Third world Middle east Liver Parasites 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

For this type of study, formal consent is not required. This article does not contain any studies with human participants or animals performed by any of the authors.


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of RadiologyAmerican University of Beirut Medical CenterBeirutLebanon
  2. 2.Department of SurgeryAmerican University of Beirut Medical CenterBeirutLebanon
  3. 3.Diagnostic Radiology DepartmentAmerican University of Beirut Medical CenterBeirutLebanon

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