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A case of amoebic colitis with amoeboma and simultaneous liver abscesses. A diagnosis by colonoscopy.

A case of amoebic colitis with amoeboma and simultaneous liver abscesses. A diagnosis by colonoscopy.

Authors :
Bronswijk M
Van Gool S
Source :
Acta gastro-enterologica Belgica [Acta Gastroenterol Belg] 2019 Oct-Dec; Vol. 82 (4), pp. 539-541.
Publication Year :
2019

Abstract

A 50-year-old patient was admitted to our department after developing severe abdominal cramps, watery diarrhea and fever, during four days whilst travelling abroad. Imaging identified a mass in the ascending colon with simultaneous liver lesions. Initially a diagnosis of metastatic colorectal cancer was suggested, however colonoscopy showed a large lesion with a central ulcer and surrounding inflammation in the ascending colon. Biopsies confirmed our clinical suspicion of amoebic colitis, complicated by development of an amoeboma and simultaneous liver abscesses. Amoeboma formation is a rare complication of amoebiasis, however a simultaneous presentation with liver abscesses, amoebic colitis and an amoeboma might even be less frequent. Despite its rarity physicians should maintain a high index of suspicion of patients presenting with synchronous liver and colon lesions, especially as travel to endemic areas has increased.<br /> (© Acta Gastro-Enterologica Belgica.)

Details

Language :
English
ISSN :
1784-3227
Volume :
82
Issue :
4
Database :
MEDLINE
Journal :
Acta gastro-enterologica Belgica
Publication Type :
Report
Accession number :
31950812