36 year old Thai man jaundiced with abdominal distension, what is likely cause?

Fisherman (freshwater) in the north-east of Thailnd. Wife and many children, monogamous, HIV negative. Lives in jungle area, near river, many dogs, chickens, monkeys, goats, cows, pigs. Toilet is outside. No fever, very thin.

Eats a normal Thai diet - Som Tam, Koi Pla, lots of rice. Does not feel ill - came in to clinic because he is getting yellowing of skin and whites of eyes - jaundiced. Previously healthy, no prior med prob or surgery. No diseases running in family.

Distension going on for months. Getting bigger. Exam: jaundiced, has large palpable non-tender mass below liver on his right side. No enlarged liver or spleen

Obviously has liver problem but what are possible causes?

3 Answers

  • 4 years ago

    Large palpable mass certainly has something to do with it.

    Neoplasm is a major concern.

  • 4 years ago

    Does he drink alcohol? Sounds like it could be a late-stage liver hepatitis

  • Anonymous
    4 years ago

    Perhaps a parasitic organism should be considered? Amebiasis?

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