SIDDIQUI, MN and RIZVI, SB and AHMED, M and RIZVI, IH (1992) AMEBIC LIVER-ABSCESS COMPLICATED BY A HEPATODUODENAL FISTULA. CLIN RADIOL , 46 (2) 142 - 143.
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Amoebic liver abscess (ALA) is a common extra-intestinal presentation of amoebiasis caused by Entamoeba histolytica . The liver abscess may be complicated by rupture into adjacent structures. Common organs involved include thorax, peritoneum and pericardium . Rupture into the gastrointestinal tract is extremely rare. We report a patient who developed a hepatoduodenal fistula complicating an amoebic liver abscess. Suspicions were raised on finding air in the liver abscess on ultrasound scanning. Diagnosis was confirmed on a water-soluble (Gastrografin) swallow (Fig. 1 a,b). Complications of ALA are associated with a high morbidity and mortality and early diagnosis is important.To our knowledge only one previous case of a hepatoduodenal fistula complicating an ALA with radiological confirmation has been reported .
|Title:||AMEBIC LIVER-ABSCESS COMPLICATED BY A HEPATODUODENAL FISTULA|
|UCL classification:||UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)|
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