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Invasive amoebiasis: an unusual presentation.

B R Davidson1, J P Neoptolemos, D Watkin

  • 1Department of Surgery, Leicester Royal Infirmary.

Gut
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

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This case report details a rare paracaecal amoeboma causing abdominal pain and rectal bleeding. The amoeboma involved fistulae to the appendix and bladder, successfully treated with surgery and medication.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Amoebiasis is a parasitic infection typically affecting the colon.
  • Intestinal amoebiasis can present with diverse clinical manifestations, including inflammatory masses.

Observation:

  • A 63-year-old woman presented with abdominal pain, a palpable right iliac fossa mass, and rectal ulceration.
  • Laparotomy revealed an inflammatory paracaecal mass with fistulae involving the appendix, small bowel, and urinary bladder.

Findings:

  • Microscopic examination confirmed invasive amoebae within the resected mass.
  • Surgical excision followed by metronidazole and diloxanide treatment resulted in successful re-anastomosis.

Implications:

Related Experiment Videos

  • This is the first reported case of a paracaecal amoeboma presenting with fistulae to both the appendix and urinary bladder.
  • Highlights the importance of considering amoebiasis in the differential diagnosis of complex abdominal masses, even with unusual fistulating patterns.