Al-Mustansiriyah University, College of Medicine

Small Groups Learning Committee & Department of Surgery

Year-3 / Semester -1 / Scenario-4 / Surgery-1

A forty-five years old sheep farmer had a long history of increasing dragging right
abdominal pain for the last six months. He presented now with non-tender palpable
right upper abdominal mass, which looks cystic in consistency. He had a normal
appetite and bowel habits with no weight loss.
His vital signs are:
▪ Temperature: 37.10C
▪ Pulse rate: 76 beat/minute
▪ Blood pressure: 125/75mmHg
▪ Respiratory rate: 15 cycles/minute.
Imaging study of the abdomen

The Learning Objectives:

1. Define the possible Diagnosis for the patient condition.
2. Draw a diagram concerning the life cycle of the causative agent concentrating on
hosts vector and rout of transmission.
3. Identify the WHO group classification of this disease.
4. Explain how you are going to investigate this patient.
5. Outline the treatment options for this condition.