BACKGROUNDHydatid disease is a cyclo-zoonotic parasitic infection caused by Echinococcus granulosus. This disease is usually found in liver and lungs, but no organ of body is immune. Location at unusual sites in the body can have atypical presentations and can pose a diagnostic challenge. A high index of suspicion, radiological investigations as well as serological examination is necessary in establishing the diagnosis of hydatid disease at unusual sites in the body. We report here a case of a 35-year-old female, who presented with abdominal pain and a lump in the epigastric region.
Progressive massive fibrosis characterised by the development of large conglomerate masses of dense fibrosis usually in the upper lung zones can complicate silicosis and coal worker's pneumoconiosis. (1-3) The disease initiates through deposition of silica and coal in the lung and then by body's immunological reaction to the dust. Here, we present a case report of a 55-year-old man who presented to our emergency department with gradually progressive dyspnoea.
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