17th July 2020

A 45-year-old gentleman who has recently emigrated from Tunisia to the UK presents to the emergency department complaining of right upper quadrant abdominal pain

A 45-year-old gentleman who has recently emigrated from Tunisia to the UK presents to the emergency department complaining of right upper quadrant abdominal pain. On palpation you feel that the abdomen is distended and palpation of the liver reveals that it is large with a craggy border. 

What is the single most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.