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Gastrointestinal fistulization in amebic liver abscess

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Abstract

Background

Liver abscess is a common deep seated abscess in children; amebic liver abscess is associated with more local complications.

Case characteristics

We report two preschool children presenting with short history of pain, fever and right upper quadrant pain. The abscess communicated with gastro-intestinal tract (ascending colon in case 1 and duodenum in case 2), and diagnosis of amebic liver abscess was confirmed by DNA PCR.

Outcome

Both children were successfully managed with intravenous antibiotics and catheter drainage.

Message

Gastrointestinal fistulization may be rarely seen in amebic liver abscess. Conservative management with antibiotics, catheter drainage and supportive care may suffice.

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Author information

Authors and Affiliations

  1. Division of Pediatric Gastroenterology, Department of Gastroenterology, PGIMER, Chandigarh, India

    K. P. Srikanth, B. R. Thapa & Sadhna B. Lal

Authors
  1. K. P. Srikanth
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  2. B. R. Thapa
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  3. Sadhna B. Lal
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Corresponding author

Correspondence to K. P. Srikanth.

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Srikanth, K.P., Thapa, B.R. & Lal, S.B. Gastrointestinal fistulization in amebic liver abscess. Indian Pediatr 53, 253–255 (2016). https://doi.org/10.1007/s13312-016-0831-2

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  • DOI: https://doi.org/10.1007/s13312-016-0831-2

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