[Multiple amebic liver abscesses: ultrasound diagnosis and ultrasound-controlled puncture].
Amebic colitis and amebic liver abscess were diagnosed in a 45-year-old patient who had returned from Thailand. Ultrasound scans performed after starting treatment with metronidazole showed an abscess located above the right kidney that had enlarged to a maximum diameter of 9.7 cm. Since rupture of this lesion was felt to be imminent, ultrasound-guided needle biopsy was performed and 300 ml of abscess fluid evacuated. The patient experienced rapid relief of his symptoms. The role of ultrasound imaging in the diagnosis and follow-up of amebic liver abscesses and the indications for ultrasound-guided needle aspiration are discussed.
Abteilung für Innere Medizin mit Schwerpunkt Infektionskrankheiten, Standort Charlottenburg.
M
M
Trautmann
T
T
Weinke
T
T
Held
M
M
Ruhnke
H
H
Lufft
D000818:Animals; D004322:Drainage / Q000379:methods*; D004748:Entamoeba histolytica / Q000302:isolation & purification; D005243:Feces / Q000469:parasitology; D006801:Humans; D008099:Liver / Q000473:pathology; D008101:Liver Abscess, Amebic / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography / Q000379:methods*
Multiple Amöbenleberabszesse: Sonographische Diagnostik und ultraschallgezielte Punktion.