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Hepatogastric fistula in a pediatric patient
Sushil Budhiraja1, Gurjit S Dhatt, Ravinderpal S Babra
1Pediatric Surgery Unit, Department of Surgery, Dayanand Medical College and Hospital, Ludhiana (Punjab), India. sheelbudhiraja@rediffmail.com
Insights
Hepatogastric fistula, a rare complication of amebic liver abscess, can be treated effectively. Percutaneous drainage and metronidazole prevent surgery, leading to full recovery in pediatric patients.
Area of Science:
- Gastroenterology
- Hepatology
- Infectious Diseases
Background:
- Hepatogastric fistula is a rare complication arising from amebic liver abscess.
- Pediatric cases of this condition are exceptionally uncommon, with only three reported previously.
Observation:
- This report details a case of hepatogastric fistula secondary to amebic liver abscess in a pediatric patient.
- The fistula presented a significant clinical challenge due to its rarity.
Findings:
- Percutaneous drainage of the amebic liver abscess was successfully performed.
- Parenteral administration of metronidazole was initiated as the primary medical treatment.
- This combined approach effectively managed the hepatogastric fistula.
Implications:
- Minimally invasive treatments like percutaneous drainage and antibiotics can avert major surgery.
- Early and appropriate intervention ensures complete recovery for pediatric patients with this rare condition.
- Highlights the importance of considering amebic liver abscess as a cause of hepatogastric fistula.
Abstract:
Hepatogastric fistula secondary to amebic liver abscess is extremely rare. Only three pediatric cases have been reported in the English literature. Percutaneous drainage of abscess along with parenteral metronidazole can prevent the need for extensive surgical intervention. Timely intervention is usually followed by complete recovery.