scholarly journals A case report of ruptured amoebic liver abscess causing cardiac tamponade and requiring pericardial window

2020 ◽  
Vol 4 (5) ◽  
pp. 1-4
Author(s):  
Cliojis Francis ◽  
Swati Soni ◽  
Anunay Gupta ◽  
Sourabh Agstam
Keyword(s):  
Cardiac Tamponade ◽  
Liver Abscess ◽  
Rare Complication ◽  
Abdominal Ultrasound ◽  
Left Lobe ◽  
Amoebic Liver Abscess ◽  
Chest Drain ◽  
Pericardial Window ◽  
Extraintestinal Manifestation ◽  
Window Management

Abstract Background Amoebiasis is a prevalent infection in the tropics. Amoebic liver abscess is the most common extraintestinal manifestation. Cardiac tamponade is an uncommon complication of amoebic liver abscess that may need urgent pericardiocentesis. Case summary A 25-year-old man presented with abdominal pain and fever for 1 month. Abdominal ultrasound revealed a 4.7 × 4.7 cm abscess in the left lobe of the liver. Percutaneous pigtail drainage was performed to evacuate the abscess. After 2 days, the patient developed signs of cardiac tamponade and bilateral pleural effusion, requiring urgent pericardiocentesis and chest drain insertion. Persistent posterior collection of thick abscess in pericardium needed pericardial window for complete drainage. The patient recovered completely after pericardial window. There was no evidence of chronic constrictive pericarditis after 1 year of follow-up. Discussion A rare complication of the amoebic liver abscess was observed in this young adult who developed cardiac tamponade, requiring an urgent pericardiocentesis, and later requiring pericardial window. Management includes amoebicidal and luminicidal drugs for complete eradication of Entamoeba histolytica.

A RARE CASE OF COMPLICATED LIVER ABSCESS WITH MIDDLE HEPATIC VEIN THROMBOSIS: A CASE REPORT AND REVIEW OF LITERATURE

2021 ◽  
pp. 1-2
Author(s):  
V.P.S. Punia ◽  
Praveen Raman Mishra ◽  
Shaavi Mittal ◽  
Akash Bharti ◽  
Prem Kumar ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Hepatic Vein ◽  
Middle Hepatic Vein ◽  
Amoebic Liver Abscess ◽  
Hepatic Veins ◽  
Review Of Literature ◽  
Extraintestinal Manifestation ◽  
Vein Thrombosis ◽  
Histolytica Infection ◽  
Life Threatening

In developing countries Amoebic liver abscess is commonly encountered disease and it’s also the commonest extraintestinal manifestation of Entamoeba histolytica infection. Usual complication of Amoebic liver abscess arises due to collection of pus in various cavities, like in peritoneal cavity following perforation, in the pleural cavity which is known as empyema thoracis, and rarely it is complicated by life threatening conditions such as venous extension of the disease involving the hepatic veins and IVC, with only few cases reported. Here we describe a case of amoebic liver abscess extending across middle hepatic vein.

scholarly journals ANALISIS PEMERIKSAAN LABORATORIUM PADA KASUS LEPTOSPIROSIS DISERTAI ABSES HATI AMOEBA

2021 ◽  
Vol 3 (3) ◽  
pp. 131-139
Author(s):  
Donaliazarti Donaliazarti
Keyword(s):  
Liver Abscess ◽  
Clinical Manifestations ◽  
Abdominal Ultrasound ◽  
Amoebic Liver Abscess ◽  
Personal Hygiene ◽  
Serological Examination ◽  
Mild Anemia ◽  
Prolonged Aptt ◽  
The Right ◽  
Time Of Admission

Leptospirosis is a disease caused by spirochaeta microorganism of the genus Leptospira, while the amoebic liver abscess is an extraintestinal complication by Entamoeba Histolytica. Both diseases occurred in a 45-year-old man with poor personal hygiene and environment sanitation. Amoebic liver abscess was found to be a coincidence that was thought to have existed before the patient developed leptospirosis so that the two diseases caused overlapping clinical manifestations in the patient, but the acute symptoms experienced by the patient at the time of admission were more likely to be caused by his leptospirosis. Patient complained of high fever, yellowing of the skin and eyes, urinating like concentrated tea, stiffness in both legs, nausea, vomiting and heartburn. On physical examination found febrile, tachycardia, icteric on skin and sclera, ciliary injection, and hepatomegaly. Laboratory tests showed mild anemia with normocytic normochromic features, leukocytosis with neutrophilia shift to the right, thrombocytosis, increased ESR, prolonged APTT, hyperbilirubinemia, elevated SGOT SGPT, ALP and GGT enzymes, hypoalbuminemia, hyperglobulinemia, and bilirubinuria. Microscopic examination with negative staining of urine samples found Leptospira. Abdominal ultrasound examination showed a solitary space occupying lesion (SOL) in the right lobe of the liver and on serological examination showed positive antiamoeba. Based on the above, this patient was diagnosed as having coincident leptospirosis with amoebic liver abscess.

scholarly journals Left lobe amoebic liver abscess

1976 ◽  
Vol 52 (607) ◽  
pp. 269-274 ◽  
Author(s):  
R. Rasaretnam ◽  
S. E. Wijetilaka
Keyword(s):  
Liver Abscess ◽  
Left Lobe ◽  
Amoebic Liver Abscess

scholarly journals A clinical study on amoebic liver abscess

2014 ◽  
Vol 14 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Aswini Kumar Sahoo ◽  
Sudhasmita Rauta
Keyword(s):  
Liver Abscess ◽  
Medical Science ◽  
Liver Lesion ◽  
Elisa Test ◽  
Left Lobe ◽  
Amoebic Liver Abscess ◽  
High Grade Fever ◽  
Common Diagnosis ◽  
Clinical Background ◽  
Right Lobe

Background: Amoebic liver abscess presents with severe pain and high grade fever and if not diagnosed and treated promptly, may lead to complications and mortality. Aim and objectives: The objective of the present study was to estimate the incidence, need for aspiration and prognosis. The diagnosis was based on clinical features, positive Elisa test, ultrasonography, aspiration of anchovy sauce from the liver lesion, isolation of E. Histolytica (cyst/trophozoite) from the stool of the patient. Result: We had 65 cases in the study. There were 52 males & 13 females with a ratio of 4:1. Solitary abscess was found in 48 (73.8%) patients which are located as follows; right lobe(43), left lobe(2) and in both lobe(3). 9% were aspirated at presentation due to their size or position. Only 4 (2%) were aspirated at first follow-up on third day due to non resolution of pain or fever or increase in size. All the patients are responded to standard treatment of metronidazole. Amoebic liver abscess is a common diagnosis in our setup. Conclusion: Clinical background and sonogram give a reasonable suggestion about amoebic etiology. If initial aspiration is not indicated due to size larger than 10 cm or proximity to surface, conservative treatment with oral or intravenous metronidazole is successful. DOI: http://dx.doi.org/10.3329/bjms.v14i1.15525 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.49-52

scholarly journals Amoebic liver abscess in a COVID-19 patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea L. Maricuto ◽  
Viledy L. Velásquez ◽  
Jacinto Pineda ◽  
David M. Flora-Noda ◽  
Isaac Rodríguez ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Abdominal Cavity ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Amoebic Liver Abscess ◽  
Stool Examination ◽  
Nasopharyngeal Swab ◽  
Suspected Case ◽  
Middle Income ◽  
Patient Reported

Abstract Background Amoebiasis is a parasitic disease caused by Entamoeba histolytica, which affects people living in low- and middle-income countries and has intestinal and extraintestinal manifestations. To date, knowledge on coronavirus disease 2019 (COVID-19) coinfection with enteric parasites is limited, and E. histolytica coinfection has not been previously described. Here we present the case of a patient with COVID-19 who, during hospitalisation, presented a clinical picture consistent with an amoebic liver abscess (ALA). Case presentation A 54-year-old man, admitted as a suspected case of COVID-19, presented to our hospital with dyspnoea, malaise, fever and hypoxaemia. A nasopharyngeal swab was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse-transcription polymerase chain reaction. After 7 days, he developed diarrhoea, choluria and dysentery. An abdominal ultrasound showed a lesion compatible with a liver abscess; stool examination revealed E. histolytica trophozoites, and additional serology for E. histolytica was positive. After 12 days of treatment with metronidazole, ceftazidime and nitazoxanide, the patient reported acute abdominal pain, and an ultrasound examination revealed free liquid in the abdominal cavity. An emergency exploratory laparotomy was performed, finding 3000 mL of a thick fluid described as “anchovy paste”. Computed tomography scan revealed a second abscess. He ended up receiving 21 days of antibiotic treatment and was discharged with satisfactory improvement. Conclusion Here we present, to the best of our knowledge, the first report of ALA and COVID-19 co-presenting. Based on their pathophysiological similarities, coinfection with SARS-CoV-2 and E. histolytica could change the patient’s clinical course; however, larger studies are needed to fully understand the interaction between these pathogens.

Rare complication after pericardial window: symptomatic diaphragmatic hernia containing bowel and liver

2020 ◽  
Vol 13 (11) ◽  
pp. e236078
Author(s):  
Rebecca Harsten ◽  
Mark Kelly ◽  
Madeleine Garner ◽  
Peter Roberts
Keyword(s):  
Diaphragmatic Hernia ◽  
Rare Complication ◽  
Right Ventricular Dysfunction ◽  
District General Hospital ◽  
Left Lobe ◽  
Congenital Defects ◽  
Pericardial Window ◽  
Cardiac Compression ◽  
Liver Herniation ◽  
Upper Gastrointestinal

A 37-year-old woman presented to her local district general hospital with a cough, pleuritic chest pain and intermittent cyanosis. Eight months prior, she underwent a successful pericardial window for recurrent, symptomatic pericardial effusions. On presentation she was hypoxic but haemodynamically stable. Her chest radiograph raised the suspicion of a diaphragmatic hernia, confirmed by CT imaging. This identified herniation through the diaphragm of the transverse colon and left lobe of the liver resulting in cardiac compression and right ventricular dysfunction. She continued to deteriorate and required emergency intubation to allow safe transfer to a tertiary upper gastrointestinal unit. She underwent a laparotomy and repair of the diaphragmatic hernia with an uneventful inpatient recovery. In the literature, diaphragmatic liver herniation is a recognised complication secondary to trauma or congenital defects, however, to our knowledge, there are currently no cases described following pericardial windowing.

Left lobe amoebic liver abscess mimicking a perforated gastric tumour

2008 ◽  
Vol 66 (1) ◽  
pp. e25-e27 ◽  
Author(s):  
Lam Sze Yin ◽  
Kasthoori Jayarani ◽  
Gnana kumar
Keyword(s):  
Liver Abscess ◽  
Left Lobe ◽  
Amoebic Liver Abscess ◽  
Gastric Tumour

scholarly journals Bilateral adrenal gland haemorrhage: an unusual cause

2014 ◽  
Vol 2014 ◽  
Author(s):  
Durgesh Gowda ◽  
Vasant Shenoy ◽  
Usman Malabu ◽  
Donald Cameron ◽  
Kunwarjit Sangla
Keyword(s):  
Adrenal Gland ◽  
Liver Abscess ◽  
Rare Complication ◽  
Amoebic Liver Abscess ◽  
List Type ◽  
Vein Thrombosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
Severe Degree ◽  
Deep Vein

Summary Our patient had drainage of a large amoebic liver abscess. This got complicated by a severe degree of hypotension, which required aggressive fluid resuscitation and hydrocortisone support. Computerised tomography (CT) of the abdomen revealed bilateral adrenal gland haemorrhage (BAH) resulting in primary adrenal gland failure, which was the cause for hypotension. Patient was on long-term warfarin for provoked deep vein thrombosis of lower limb, which was discontinued before the procedure. Thrombophilia profile indicated the presence of lupus anticoagulant factor with prolonged activated partial thromboplastin time (aPTT). Patient was discharged on lifelong warfarin. This case emphasises the need for strong clinical suspicion for diagnosing BAH, rare but life-threatening condition, and its association with amoebic liver abscess and anti-phospholipid antibody syndrome (APLS). Learning points Recognition of BAH as a rare complication of sepsis. APLS can rarely cause BAH.

scholarly journals Pericardial Effusion Secondary to Amoebic Liver Abscess: A Rare Complication

Cureus ◽  
2020 ◽  
Author(s):  
Mohammad Raza ◽  
Sohail Kumar ◽  
Deedar Nanjiani ◽  
Azhar Hussain ◽  
Saad Azizullah
Keyword(s):  
Pericardial Effusion ◽  
Liver Abscess ◽  
Rare Complication ◽  
Amoebic Liver Abscess
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