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Gigantic hepatic amebic abscess presenting as acute abdomen: a case report
INTRODUCTION: Amebiasis is a parasitic disease caused by Entamoeba histolytica. It most commonly results in asymptomatic colonization of the gastrointestinal tract, but some patients develop intestinal invasive or extra-intestinal diseases. Liver abscess is the most common extra-intestinal manifesta...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572068/ https://www.ncbi.nlm.nih.gov/pubmed/18847505 http://dx.doi.org/10.1186/1752-1947-2-325 |
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author | Papavramidis, TS Sapalidis, K Pappas, D Karagianopoulou, G Trikoupi, A Souleimanis, Ch Papavramidis, ST |
author_facet | Papavramidis, TS Sapalidis, K Pappas, D Karagianopoulou, G Trikoupi, A Souleimanis, Ch Papavramidis, ST |
author_sort | Papavramidis, TS |
collection | PubMed |
description | INTRODUCTION: Amebiasis is a parasitic disease caused by Entamoeba histolytica. It most commonly results in asymptomatic colonization of the gastrointestinal tract, but some patients develop intestinal invasive or extra-intestinal diseases. Liver abscess is the most common extra-intestinal manifestation. The large number of clinical presentations of amebic liver abscess makes the diagnosis very challenging in non-endemic countries. Late diagnosis of the amebic abscess may lead to perforation and amebic peritonitis, resulting in high mortality rates. CASE PRESENTATION: This report describes a 37-year-old white man, suffering from hepatitis B, with a gigantic amebic liver abscess presenting as an acute abdomen due to its rupture. Rapid deterioration of the patient's condition and acute abdomen led to an emergency operation. A large volume of free fluid together with debris was found at the moment of entry into the peritoneal cavity because of a rupture of the hepatic abscess at the position of the segment VIII. Surgical drainage of the hepatic abscess was performed; two wide drains were placed in the remaining hepatic cavities and one on the right hemithorax. The patient was hospitalized in the ICU for 14 days and for another 14 days in our department. The diagnosis of amebic abscess was made by the pathologists who identified E. histolytica in the debris. CONCLUSION: Acute abdomen due to a ruptured amebic liver abscess is extremely rare in western countries where the parasite is not endemic. Prompt diagnosis and treatment are fundamental to preserving the patient's life since the mortality rates remain extremely high when untreated, even nowadays. |
format | Text |
id | pubmed-2572068 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-25720682008-10-24 Gigantic hepatic amebic abscess presenting as acute abdomen: a case report Papavramidis, TS Sapalidis, K Pappas, D Karagianopoulou, G Trikoupi, A Souleimanis, Ch Papavramidis, ST J Med Case Reports Case Report INTRODUCTION: Amebiasis is a parasitic disease caused by Entamoeba histolytica. It most commonly results in asymptomatic colonization of the gastrointestinal tract, but some patients develop intestinal invasive or extra-intestinal diseases. Liver abscess is the most common extra-intestinal manifestation. The large number of clinical presentations of amebic liver abscess makes the diagnosis very challenging in non-endemic countries. Late diagnosis of the amebic abscess may lead to perforation and amebic peritonitis, resulting in high mortality rates. CASE PRESENTATION: This report describes a 37-year-old white man, suffering from hepatitis B, with a gigantic amebic liver abscess presenting as an acute abdomen due to its rupture. Rapid deterioration of the patient's condition and acute abdomen led to an emergency operation. A large volume of free fluid together with debris was found at the moment of entry into the peritoneal cavity because of a rupture of the hepatic abscess at the position of the segment VIII. Surgical drainage of the hepatic abscess was performed; two wide drains were placed in the remaining hepatic cavities and one on the right hemithorax. The patient was hospitalized in the ICU for 14 days and for another 14 days in our department. The diagnosis of amebic abscess was made by the pathologists who identified E. histolytica in the debris. CONCLUSION: Acute abdomen due to a ruptured amebic liver abscess is extremely rare in western countries where the parasite is not endemic. Prompt diagnosis and treatment are fundamental to preserving the patient's life since the mortality rates remain extremely high when untreated, even nowadays. BioMed Central 2008-10-12 /pmc/articles/PMC2572068/ /pubmed/18847505 http://dx.doi.org/10.1186/1752-1947-2-325 Text en Copyright © 2008 Papavramidis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Papavramidis, TS Sapalidis, K Pappas, D Karagianopoulou, G Trikoupi, A Souleimanis, Ch Papavramidis, ST Gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
title | Gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
title_full | Gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
title_fullStr | Gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
title_full_unstemmed | Gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
title_short | Gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
title_sort | gigantic hepatic amebic abscess presenting as acute abdomen: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572068/ https://www.ncbi.nlm.nih.gov/pubmed/18847505 http://dx.doi.org/10.1186/1752-1947-2-325 |
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