title: Ruptured amebic liver abscess.
abstract: A 20 years old male was referred from a district hospital having a refractory amebic liver abscess, not responding to metronidazole and aspiration. At presentation, he had pain in the right upper abdominal quadrant (RUAQ) with guarding and rigidity, accompanied by fever, vomiting and dyspnea. A diagnosis of ruptured amebic liver abscess (ALA) was made. The patient was managed successfully with ultrasound (US)-guided percutaneous catheter drainage (PCD) and metronidazole.
authors.affiliation: Department of General Surgery, Sir Ganga Ram Hospital, Lahore, Pakistan. azhar104@hotmail.com
authors.forename: Azhar Jawaid
authors.initials: AJ
authors.lastname: Bukhari
mesh_terms: D000328:Adult; D002444:Cefuroxime / Q000008:administration & dosage; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D008101:Liver Abscess, Amebic / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D018570:Risk Assessment; D012422:Rupture, Spontaneous; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D008795:Metronidazole; D002444:Cefuroxime