RT Journal Article SR Electronic T1 Lesson of the month 2: Cough and right hypochondrial discomfort JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 208 OP 209 DO 10.7861/clinmedicine.15-2-208 VO 15 IS 2 A1 Hariney Kurunadalingam A1 Simon W Dubrey A1 Peter L Chiodini YR 2015 UL http://www.rcpjournals.org/content/15/2/208.abstract AB Cystic echinococcosis, commonly known as hydatid disease, is caused by the larval stage of the tapeworm Echinococcus granulosus. Humans are an accidental host to this rare disease in the UK, with around 10–20 new cases reported each year. Once suspected, the diagnosis is confirmed through a combination of relevant history, imaging studies and serological testing. This lesson presents a case of hydatid disease and outlines the significant management issues when cysts rupture and the disease becomes disseminated.