Gastrointestinal Fistulization in Amebic Liver Abscess
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Case :
A 3-year-old girl, presented with intermittent high grade fever with chills for 2 days, which subsided with antipyretics. Subsequently she developed periumbical pain, which shifted to right upper abdomen. There was no abdominal distension, vomiting or diarrhea. A transabdominal sonography (USG) on day 7 of illness revealed an abscess in right lobe (Segment V), after which she was referred to our center for management. On admission, child was hemodynamically stable, and had mild pallor. Abdominal examination revealed tender hepatomegaly. There was no free fluid or any sign of peritonitis. Systemic examination was normal. Repeat USG revealed abscess in the right lobe of the liver measuring 3.5 × 2.8 cm with probable communication with ascending colon. Contrast enhanced computed tomography (CECT) of abdomen showed air fluid level in the abscess and communication with colon...

http://www.indianpediatrics.net/mar2016/mar-253-255.htm
Like
Comment
Share