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Related Experiment Videos

Massive amebic liver abscess--an unusual presentation.

N Kaur1, S Gupta, V R Minocha

  • 1Department of Surgery , University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|August 11, 2001
PubMed
Summary

A large liver cyst caused by Entamoeba histolytica was surgically managed with a Roux-en-Y anastomosis. The patient recovered well after treatment with metronidazole.

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Surgical Gastroenterology

Background:

  • Amebiasis is a parasitic infection caused by Entamoeba histolytica, typically affecting the colon but can manifest in extraintestinal sites like the liver.
  • Hepatic amebic abscesses are a common extraintestinal manifestation, but large cystic presentations without typical abscess features are less frequent.

Observation:

  • A 40-year-old woman presented with a large abdominal mass and menstrual irregularities.
  • Imaging revealed a complex cystic lesion in the right abdomen, obscuring the right ovary.
  • Surgical exploration identified a large cyst originating from the liver's right lobe with bilious aspirate.

Findings:

  • The cyst wall was densely adherent to surrounding retroperitoneal structures, precluding complete surgical excision.

Related Experiment Videos

  • Histopathological examination of the cyst wall revealed inflammatory granulation tissue and Entamoeba histolytica trophozoites.
  • A Roux-en-Y jejunal loop was anastomosed to the cyst for drainage due to unresectable adherence.

    • Implications:

    • This case highlights a rare cystic presentation of hepatic amebiasis requiring surgical intervention.
    • Management involved a combination of surgical drainage and antiparasitic therapy (metronidazole).
    • Successful treatment underscores the importance of considering amebiasis in cystic liver lesions, even with atypical presentations.