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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.
- 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.)
- Subjects :
- Abdominal Pain parasitology
Biopsy
Dysentery, Amebic parasitology
Dysentery, Amebic surgery
Humans
Liver Abscess, Amebic parasitology
Liver Abscess, Amebic surgery
Liver Neoplasms diagnosis
Middle Aged
Amebiasis
Colonoscopy methods
Dysentery, Amebic diagnosis
Entamoeba histolytica isolation & purification
Liver Abscess, Amebic diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1784-3227
- Volume :
- 82
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Acta gastro-enterologica Belgica
- Publication Type :
- Report
- Accession number :
- 31950812