Amoebic liver abscesses

Case contributed by Dr Andrew Dixon

Presentation

Returned traveller from Indonesia with right upper quadrant pain and fever

Patient Data

Age: 45 years
Gender: Male
CT

Multiple low density liver lesions including one lesion with extra-capsular extension into the wall of the gastric fundus. Circumferential wall thickening of the cecum. Given the clinical setting, the appearance suggests colitis of the cecum with hepatic abscesses. 

Entamoeba histolytica infection was confirmed and treatment commenced. 

CT

Two weeks later. Increasing pain.

Follow-up CT two weeks later shows progression of the segment 6 abscess with extra-capsular extension and possible invasion of the internal oblique muscle. 

Case Discussion

A case of amoebic liver abscess due to entamoeba histolytica. 

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Case information

rID: 55536
Published: 12th Sep 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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