Abstract
A 52-year-old woman developed right upper quadrant pain. Abdominal CT revealed a 13 cm in diameter low-density mass with calcification in the right hepatic lobe. A diagnosis of hepatic alveolar echinococcosis with peritoneal dissemination was made. An extended right hepatectomy was performed, and some disseminated lesions of the peritoneum were resected. The patient is well 2 years and 3 months after surgery and is being treated with albendazole. Aggressive surgical resection is necessary in treating hepatic alveolar echinococcosis with peritoneal dissemination, since reducing the lesion load and subsequent albendazole administration prolongs survival. Few cases of hepatic alveolar echinococcosis with peritoneal dissemination have been reported. In our paper we present this case along with a review of the literature.