Section outline

  • A 35-year-old Iraqi man was found to have an enlarged liver on routine clinical examination. He did not complain of any symptoms.

    On examination, he was not jaundiced and his temperature was 37.0°C. Investigations:

    • Serum total bilirubin 15 μmol/L (1–22) 

    • Serum alanine aminotransferase 30 U/L (5–35) 
    • Serum alkaline phosphatase 325 U/L (45–105)
    • CT scan of liver (see image)

    What is the most appropriate test to confirm the diagnosis?

    1. Amoebic antibody test
    2. Fasciola hepatica antibody test
    3. Hepatitis B serology
    4. HIV test
    5. Hydatid antibody test (correct answer)