A Young Woman with Multiple Liver Cysts

A 29-year-old housewife presented with abdominal pain and abnormal results on liver function tests (table 1). The patient was from a rural area (Garmsar, Iran) and there was no family history of a similar disease. Her family owned various animals most notably jackals, dogs, and cats. The animals were not receiving regular veterinary check-ups, preventive care, or even vaccinations.