[Amebic liver abcess at Bouake Teaching Hospital: diagnostic and therapeutic aspects about 46 cases].
OBJECTIVE
To describe the diagnosis and therapeutic aspects of amebic liver abscesses.


METHODS
Retrospective study of 46 cases of amebic liver abcesses seen at Bouaké Teaching Hospital during the period from January 1997 to June 2002.


RESULTS
Three clinical pictures were carried out: painful and feverish hepatomegaly (n=28, 60.9%), fever with pain of the right hypochondrium (n=3, 6.5%) and diffuse acute peritonitis (n=15, 32.6%). Forty-one liver abcesses were diagnosed with abdominal ultrasonography and the remaining 5 cases were diagnosed during laparotomy. Fifteen patients had peritonitis due to rupture of liver abcesses and one among them had a gangrenous left colon. Amoebiasis was diagnosed by positive amebic serology among all patients. All the patients received antibiotic treatment, 16 patients were treated by needle aspiration under ultrasound and 15 patients underwent a laparotomy. Post-operative morbidity was of 4 parietal suppurations. Morbidity of needle aspiration was nil. One death occurs as the consequence of hepatocellular insufficiency.


CONCLUSIONS
This study stresses ultrasound examination place in the diagnosis and the treatment of amebic liver abscess. Laparotomy is still performed to deal with complicated forms such as intraperitoeal rupture.
Service de Chirurgie Générale et Digestive CHU de Bouaké, Côte d'Ivoire. lebeauroger@yahoo.fr
Roger
R
Lebeau
Bamourou
B
Diané
Sébastien
S
Yénon
Eric
E
Koffi
Brou Assamoi
BA
Kassi
Jean-Claude
JC
Kouassi
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D007560:Cote d'Ivoire; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008101:Liver Abscess, Amebic / Q000175:diagnosis* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014463:Ultrasonography; D055815:Young Adult
D000900:Anti-Bacterial Agents