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Hepatic alveolar echinococcosis is an uncommon parasitic diseasecaused by Echinococcus multilocularis. It carries high fatality ratesand poor prognosis if not diagnosed early and managed correctly. Wereport a 29-year-old female patient who admitted to our clinic withfatigue, weight loss and abdominal bloating in her right upper quadrant.Physical examination revealed the presence of a large palpablemass in her right upper quadrant, ascites and bilateral pedal edema.Computed tomography revealed a large non-homogeneous mass locatedin the right lobe of the liver and a dilated paraumbilical veinarising from the left branch of the portal vein. Echinococcus serologyassessed by enzyme-linked immunosorbent assay was noted to be positive.Histopathologic examination of the hepatic mass was consistentwith alveolar echinococcosis. The patient’s complaints were determinedas being related to cirrhosis due to alveolar echinococcosis.Alveolar echinococcosis must be considered in patients with portalhypertension of uncertain etiology, especially in endemic regions.

Portal Hypertension Due to Alveolar Echinococcosis and Recanalized Paraumbilical Vein