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Pulmonary Thromboembolism: A Rare Vascular Complication of Amebic Liver Abscess

Gautam Jesrani1, Samiksha Gupta1, Monica Gupta1

  • 1General Medicine, Government Medical College and Hospital, Chandigarh, IND.

Cureus
|November 12, 2020
PubMed

Insights

Amebic liver abscess (ALA) can compress the inferior vena cava (IVC), leading to thrombus formation and pulmonary thromboembolism (PTE). This case highlights successful management with antibiotics, aspiration, and anticoagulation.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Amebic liver abscess (ALA) is a common extra-intestinal manifestation of amebiasis.
  • Complications include rupture and vascular compression.
  • Vascular compression can lead to thrombus formation.

Observation:

  • A 26-year-old male presented with fever, abdominal pain, chest pain, and dyspnea.
  • Imaging revealed an ALA compressing the inferior vena cava (IVC).
  • Pulmonary thromboembolism (PTE) was diagnosed.

Findings:

  • The ALA caused IVC compression, resulting in thrombus formation and PTE.
  • Successful management involved antibiotics, percutaneous aspiration, and anticoagulation.

Implications:

  • This case underscores the potential for ALA to cause serious vascular complications like PTE.
  • Early diagnosis and comprehensive management are crucial for favorable outcomes.
  • Highlights the importance of considering ALA in patients with relevant symptoms and risk factors.
Keywords:
amebic liver abscesscomplicationsinferior vena cavaliver abscesspulmonary thromboembolismthrombosis

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