Invasive amoebiasis: an unusual presentation.
A 63 year old Asian woman who presented with three week's abdominal pain was found to have a hard right iliac fossa mass and rectal ulceration. Profuse rectal bleeding necessitated a laparotomy. An inflammatory paracaecal mass with fistulae involving appendix, small bowel, and bladder was excised with exteriorisation of the bowel ends. Microscopy showed invasive amoebae. Re-anastomosis was successfully done after treatment with metronidazole and diloxanide. There are no previous reports of a paracaecal amoeboma with fistulae to either the appendix, or urinary bladder.
Davidson
B R
BR
Department of Surgery, Leicester Royal Infirmary.
Neoptolemos
J P
JP
Watkin
D
D
Talbot
I C
IC
D000562:Amebiasis / Q000150:complications* / Q000473:pathology; D001065:Appendix / Q000473:pathology; D002429:Cecal Diseases / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000473:pathology; D007412:Intestinal Fistula / Q000209:etiology* / Q000473:pathology; D008875:Middle Aged; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000473:pathology