Massive amebic liver abscess--an unusual presentation.
A 40-year-old woman presented with a huge lump in the right half of the abdomen and irregular menses. Ultrasonography showed a cystic lump with septations, extending from the upper abdomen to the pelvis; the right ovary was not seen. On exploration, there was a large cyst arising from the right lobe of the liver; the aspirate was bilious. Since the cyst wall was adherent to retroperitoneal structures, complete excision was not possible. A roux-en-Y loop of jejunum was anastomosed to the cyst wall. Biopsy of the wall showed inflammatory granulation tissue with trophozoites of Entamoeba histolytica. She was treated with metronidazole, and recovered uneventfully.
Kaur
N
N
Department of Surgery , University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi.
Gupta
S
S
Minocha
V R
VR
Singh
U R
UR
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D000818:Animals; D000890:Anti-Infective Agents / Q000627:therapeutic use; D004748:Entamoeba histolytica / Q000187:drug effects; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008101:Liver Abscess, Amebic / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D008795:Metronidazole / Q000627:therapeutic use; D014463:Ultrasonography
D000890:Anti-Infective Agents; D008795:Metronidazole