Abstract
A 39-year-old woman from the south highland of Peru presented with abdominal distention, 10-kg weight gain, and intense stabbing pain in right upper quadrant of the abdomen. On physical examination, she had abdominal dullness and distention. She had a history of a liver cyst diagnosed by ultrasound 14 years ago. Three years ago a second ultrasound showed 3 cysts inside the first one. She did not receive any treatment before this hospitalization. The patient used to raise dogs and livestock (sheep and cattle) in her rural house when she was a child.
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