Abstract
A case of an amebic liver abscess with unusual clinical manifestations is presented. A middle-aged male with an abscess in both lobes of the liver presented with obstructive jaundice due to pressure on the porta hepatis with stasis of the bile in the intrahepatic biliary radicals. The patient did not respond to repeated needle aspirations and thus required open drainage. Subsequently, the patient developed a biliary leak through the drainage sites, and an injection of contrast dye into the cavity revealed a communication between the abscess cavities and the biliary tree. The biliary leak stopped spontaneously, and the large cavities also closed completely during the followup period.
Similar content being viewed by others
References
Sharma MP, Sarin SK (1987) Amoebic liver abscess in a North Indian hospital — current trends. Br J Clin Prac 41:789–793
Vakil BJ, Mehta AJ, Desai HW (1970) Atypical manifestations of amoebic abscess of liver. J Trop Med Hyg 73:63–67
Manson Bahr PEC, Apted FIC (1982) Tropical Diseases, 18th edn English Language Book Society & Bailliere-Tindall, London, p 134
Khan JA, Jafri SMV, Khan MA (1990) Obstructive jaundice an unusual presentation of amoebic liver abscess. J Trop Med Hyg 93:194–196
Nigam P, Gupta AK, Kapur KK, Sharan GR, Goyal BM, Joshi LD (1985) Cholestasis in amoebic liver abscess. Gut 26:140–145
Haider Z, Rasul A, Ahmed I (1975) Amoebic liver abscess presenting as obstructive jaundice: a case report. J Trop Med Hyg 78:131–132
Ramachandran S, Goonatillake HD, Induruwa PAC (1976) Syndromes in amoebic liver abscess. Br J Surg 63:220–225
Sharma MP, Sarin SK, Acharya SK (1984) Left lobe amoebic abscess of liver — a distinct clinical entity. J Assoc Physicians India 32:477–480
Sarda AK, Bal S, Sharma AK, Kapur MM (1989) Intraperitoneal rupture of amoebic liver abscess. Br J Surg 76:202–203
Griffin J, Jennings C, Owens A (1983) Hepatic amoebic liver abscess communicating with the biliary tree. Br J Radiol 56:887–890
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sarda, A.K., Kannan, R., Gupta, A. et al. Amebic liver abscess with jaundice. Surg Today 28, 305–307 (1998). https://doi.org/10.1007/s005950050127
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s005950050127