Do amoebic liver abscesses start as large lesions? Case report of an evolving amoebic liver abscess

1998 ◽  
Vol 36 (3) ◽  
pp. 338-340 ◽  
Author(s):  
S.P. Robinson ◽  
D Remedios ◽  
R.N. Davidson
Keyword(s):  
Case Report ◽  
Liver Abscess ◽  
Amoebic Liver Abscess ◽  
Liver Abscesses

scholarly journals Partial hepatectomy for treatment of multiple liver abscess in a calf: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Reiichiro Sato ◽  
Kazutaka Yamada ◽  
Taiki Yokoyama ◽  
Koki Tanimoto ◽  
Shoko Takeuchi ◽  
...  
Keyword(s):  
Case Report ◽  
Partial Hepatectomy ◽  
Liver Abscess ◽  
Bacterial Infections ◽  
Umbilical Vein ◽  
Abdominal Cavity ◽  
Left Liver Lobe ◽  
Vessel Sealing ◽  
Liver Abscesses ◽  
Sealing Device

Abstract Background Umbilical vein bacterial infections may cause liver abscesses during bacterial ascent. A single liver abscess can be surgically treated by marsupialization, but a risk of recurrence or non-healing remains. Moreover, there is no effective treatment for multiple abscesses. Case presentation A 17-day-old Holstein female calf exhibited reduced general condition, swelling and drainage of the umbilicus, and pressure sores in the area of the carpus, resulting in reluctance to stand up. The umbilicus showed pain at palpation; deep abdominal palpation indicated a swollen umbilical vein coursing from the umbilicus toward the liver. Ultrasonography confirmed a swollen umbilical vein with pus accumulation and multiple abscesses in the liver. Contrast-enhanced computed tomography (CT) examination confirmed that the swollen umbilical vein with fluid continued to the liver, and multiple unenhanced lesions, most likely abscesses, were confirmed in the liver. Partial hepatectomy was performed to remove as many abscesses as possible. For the resection, a vessel sealing device (LigaSureTM) was used to excise a part of the left liver lobe. As we could not remove all the abscesses in the liver during the operation, cefazolin sodium (5 mg/kg) was administered for 14 days after surgery. Post-operatively, blood accumulation was observed in the abdominal cavity, but no signs of peritonitis were found. The calf returned to the farm on day 38 after surgery. Follow-up information was obtained after 1 year, and complications were not reported. Conclusions To our knowledge, this is the first report of partial hepatectomy using a vessel sealing device for a calf with multiple liver abscesses. This case report suggests that the combination of partial hepatectomy and long-term administration of antibacterial drugs may restore the health of calves with multiple liver abscesses.

scholarly journals Clinicopathological study on presentation, diagnosis and management of liver abscess in Bhopal region

2017 ◽  
Vol 4 (8) ◽  
pp. 2572
Author(s):  
Anshul Siroliya ◽  
Mahendra Damor ◽  
M. C. Songra
Keyword(s):  
Observational Study ◽  
Liver Abscess ◽  
Prospective Observational Study ◽  
Pyogenic Liver Abscess ◽  
Amoebic Liver Abscess ◽  
Age Group ◽  
Catheter Drainage ◽  
Liver Abscesses ◽  
Male Preponderance ◽  
Amoebic Abscess

Background: This prospective observational study is carried out to study cases of liver abscess and to determine demographic profile, spectrum of clinical presentations, aetiology, laboratory investigations. The objective of the study was to evaluate efficacy of Ultrasonographic (radiological) studies in determining the aetiology and in differentiating from other liver pathologies which may change the treatment outcome, bacteriological and serological characteristics, to study the influence of alcohol, diabetics and immunocompromised diseases (esp. HIV) leading to increased incidence of liver abscess and to evaluate efficacy, recurrence rate, complications, morbidity and mortality, duration of hospital stay associated with different management Strategies.Methods: This prospective observational study was carried out in Department of Surgery, Gandhi Medical College Bhopal and Associated Hamidia Hospital, Bhopal between July 2015 to October 2016.Results: Amoebic abscess (74%) is more common than pyogenic abscess (26%). Amoebic abscess is common in the age group of 31-50 years (73%), pyogenic in the age group of 51-70 years (73.1%). Male preponderance is found in case of amoebic liver abscess (90.5%). Right lobe involvement in common. Right upper quadrant pain, tenderness and fever are the most common clinical features. Alcoholism is most common risk factor (71.6%) and diabetes mellitus has strong association with pyogenic liver abscess (15.4%). E coli (19.2%) and klebsiella (11.5%) are the most common organisms cultured. Medical therapy is more useful in case of amoebic liver abscess (58.1%) while catheter drainage is more useful in case of pyogenic liver abscess (61.5%). Pleuropulmonary complications are much more common and complications rate is more common among pyogenic group.Conclusions: In our study, alcohol was found to be the most common predisposing factor for liver abscesses (68%), this underpin the finding of other studies. Amoebic liver abscess is a medically treated common infection prevailing in unhygienic condition, affecting people mostly between 30-40 years of age whereas pyogenic liver abscess patient commonly falls between 50-70 years age group. Both liver abscesses show a male preponderance. The present study also corroborates the catheter drainage procedure as a superior modality in treating pyogenic liver abscess.

Amoebic Liver Abscess in a Four-Month-Old Infant A CASE REPORT

1977 ◽  
Vol 13 (1) ◽  
pp. 53-55
Author(s):  
B. MOORTHY ◽  
S. MEHTA ◽  
S. K. MITRA ◽  
I. C. PATHAK
Keyword(s):  
Case Report ◽  
Liver Abscess ◽  
Amoebic Liver Abscess

scholarly journals Isolated Tuberculous Liver Abscess in an Immunocompromised Adult: A case report

2018 ◽  
Vol 17 (1) ◽  
pp. 155-157
Author(s):  
ASM Rizwan ◽  
Md Rakibul Islam ◽  
Md Ghulam Yusuf
Keyword(s):  
Case Report ◽  
Liver Abscess ◽  
Medical Science ◽  
Diagnostic Delay ◽  
Amoebic Liver Abscess ◽  
High Grade ◽  
High Grade Fever

In Bangladesh tuberculosis (TB) cases are fairly common but isolated hepatobilliary TB cases are extremely rare. Liver abscess due to TB without involvement of any other site causes diagnostic delay and can easily confuse with pyogenic or amoebic liver abscess or haepatocellular carcinoma. We present a case of a 44-years-old diabetic,normotensive male who presented with prolonged high grade fever with chill and rigor with tender hepatomegally. He was put on treatment for liver abscess but was not responding. Later on, histopathology was done and it turned out to be a case of tuberculous liver abscess.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.155-157

scholarly journals Successful Diagnosis of a Longstanding Giant Amoebic Liver Abscess Using Contrast-Enhanced Ultrasonography (CEUS): A Case Report in a Western Country

2019 ◽  
Vol 20 ◽  
pp. 493-498 ◽  
Author(s):  
Giuseppe Marenga ◽  
Silvia Traficante ◽  
Serena Ragonici ◽  
Claudia Vincenzi ◽  
Maura Rocchetti ◽  
...  
Keyword(s):  
Case Report ◽  
Liver Abscess ◽  
Western Country ◽  
Amoebic Liver Abscess ◽  
Contrast Enhanced ◽  
Contrast Enhanced Ultrasonography

scholarly journals Clinico-pathological study of liver abscesses with special reference to different treatment options

2019 ◽  
Vol 6 (3) ◽  
pp. 713
Author(s):  
Sailendra Nath Paul ◽  
Vijay Kumar Jain
Keyword(s):  
Socioeconomic Status ◽  
Liver Abscess ◽  
Low Socioeconomic Status ◽  
Cost Effective ◽  
Study Groups ◽  
Amoebic Liver Abscess ◽  
Percutaneous Catheter Drainage ◽  
Disease Etiology ◽  
Low Socioeconomic ◽  
Liver Abscesses

Background: Liver abscess is a serious life threatening condition if left untreated. Most of them were amoebic in nature in tropical countries. The present study was done with the aim to assess the epidemiology of liver abscesses, to determine the fast, accurate and cost effective diagnostic approaches and to find out the best mode of management for amoebic liver abscess (ALA) and pyogenic liver abscess (PLA) in the study population.Methods: This was a prospective study done at KPC Medical College and Hospital for a period of 2 years, from June 2013 to May 2015. A total of 50 patients diagnosed with liver abscess were included in the study. Patients were categorized into ALA and PLA cases based on the type of abscess cavity. Authors have studied correlation of socio-demographic factors with disease, etiology, diagnostic findings, types of treatment and their outcome in the study population.Results: ALA was the most common type among the study groups (90%). Male preponderance was seen. Majority of them belongs to low-socioeconomic status (80%). The most common etiology of PLA was E. coli. Ultrasonography (USG) of the abdomen was accurate and cost-effective diagnostic procedure for assessing liver abscesses. Percutaneous catheter drainage was the most effective method of treatment (with a 100% success rate) in both ALA and PLA cases.Conclusions: Most of the patients in the study had ALA and had a chronological association with alcohol addiction, diabetes and low-socioeconomic status. Rapid diagnosis of the condition (ALA and PLA) with USG will reduce the rate of morbidity and mortality in the patients.

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