Management of amoebic peritonitis due to ruptured amoebic liver abscess: It’s time for a paradigm shift

Amoebic peritonitis secondary to rupture of amoebic liver abscess (ALA) has been reported to occur in 2.4 to 13% of cases with a high fatality rate. There is still no consensus as to how a ruptured ALA associated with diffuse amoebic peritonitis be optimally managed. The mortality rates following su...

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Detalles Bibliográficos
Autores principales: Kumar, Ramesh, Anand, Utpal, Priyadarshi, Rajeev N, Mohan, Shantam, Parasar, Kunal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Commentaries
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586569/
https://www.ncbi.nlm.nih.gov/pubmed/31276048
http://dx.doi.org/10.1002/jgh3.12144
Descripción
Sumario:Amoebic peritonitis secondary to rupture of amoebic liver abscess (ALA) has been reported to occur in 2.4 to 13% of cases with a high fatality rate. There is still no consensus as to how a ruptured ALA associated with diffuse amoebic peritonitis be optimally managed. The mortality rates following surgical therapy in patients with ruptured ALA freely into the peritoneum have ranged from 20%‐ to 50%. The introduction of percutaneous catheter drainage (PCD) has opened a new therapeutic possibility for this group of patients and emerging data suggest that PCD should be the preferred option in such group of patients. [Image: see text]

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