title: [Drainage of amoebic liver abscess by single incision laparoscopic surgery. Report of a case].
abstract: BACKGROUND
  Single incision laparoscopic surgery has increased recently due to successful results, achieved in several procedures. The aim of the present work is to present the first case in which single incision laparoscopy is used for the drainage of an amoebic liver abscess.
  
  
  METHODS
  A 44-year-old man presented with intense right upper quadrant pain, generalised jaundice, tachycardia, fever, hepatomegaly and a positive Murphy's sign. Laboratory results revealed an increased plasma bilirubin, elevated alkaline phosphatase and transaminases, leucocytosis, negative viral panel for hepatitis, and positive antibodies against Entamoeba histolytica. On an abdominal computed tomography a 15 × 12.1 cm hypodense lesion was observed in the patient's liver, identified as an amoebic liver abscess. Analgesics and antibiotics were started and subsequently the patient was submitted to laparoscopic drainage of the abscess using a single port approach. Drainage and irrigation of the abscess was performed. Four days later the patient was discharged without complications.
  
  
  CONCLUSIONS
  Management of amoebic liver abscess is focused on the elimination of the infectious agent and obliteration of the abscess cavity in order to prevent its complications, especially rupture. Laparoscopic surgery has proved to be a safe and effective way to manage this entity.
authors.affiliation: Departamento de Cirugía General, Hospital General Regional 1 Querétaro, Instituto Mexicano del Seguro Social, Querétaro, México.
authors.forename: José Eduardo
authors.initials: JE
authors.lastname: Telich-Tarriba
authors.affiliation: Departamento de Cirugía General, Hospital General Regional 1 Querétaro, Instituto Mexicano del Seguro Social, Querétaro, México.
authors.forename: Iris Jocelyn
authors.initials: IJ
authors.lastname: Parrao-Alcántara
authors.affiliation: Departamento de Cirugía General, Hospital General Regional 1 Querétaro, Instituto Mexicano del Seguro Social, Querétaro, México.
authors.forename: Jesús Manuel
authors.initials: JM
authors.lastname: Montes-Hernández
authors.affiliation: Departamento de Cirugía General, Hospital General Regional 1 Querétaro, Instituto Mexicano del Seguro Social, Querétaro, México. Electronic address: chuchov79@gmail.com.
authors.forename: Jesús
authors.initials: J
authors.lastname: Vega-Pérez
mesh_terms: D000328:Adult; D004322:Drainage / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008101:Liver Abscess, Amebic / Q000601:surgery*; D008297:Male
keywords: Absceso hepático; Cirugía de mínima invasión; Cirugía por puerto único; Entamoeba histolytica; Laparoscopia; Laparoscopy; Liver abscess; Minimally invasive surgical procedures; Single-incision laparoscopic surgery