Case report: Amoebic liver abscess complicated by a hepatoduodenal fistula

M. N. Siddiqui, S. B. Rizvi, M. Ahmed, I. H. Rizvi

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4 Citations (Scopus)

Abstract

Amoebic liver abscess (ALA) is a common extra-intestinal presentation of amoebiasis caused by Entamoeba histolytica [1]. The liver abscess may be complicated by rupture into adjacent structures. Common organs involved include thorax, peritoneum and pericardium [1]. Rupture into the gastrointestinal tract is extremely rare. We report a patient who developed a hepatoduodenal fistula complicating an amoebic liver abscess. Suspicions were raised on finding air in the liver abscess on ultrasound scanning. Diagnosis was confirmed on a water-soluble (Gastrografin) swallow (Fig. 1 a,b). Complications of ALA are associated with a high morbidity and mortality and early diagnosis is important. To our knowledge only one previous case of a hepatoduodenal fistula complicating an ALA with radiological confirmation has been reported [2].

Original languageEnglish
Pages (from-to)142-143
Number of pages2
JournalClinical Radiology
Volume46
Issue number2
DOIs
Publication statusPublished - Aug 1992
Externally publishedYes

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