Case presentation A 20-year-old male farmer of Oromo ethnicity in southeastern Ethiopia came to Goba Referral Hospital with a complaint of gradually increasing right upper abdominal swelling for the last year, which was associated with intermittent pain from the site, bilateral leg swelling, loss of appetite, and unquantified significant weight loss of one month duration. His clinical examination showed blood pressure (BP) of 130/80 mmHg, pulse rate of (PR) 60 bpm, afebrile, and non-icteric.
