Massive amebic liver abscess--an unusual presentation.
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2001-07-11
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Abstract
A 40-year-old woman presented with a huge lump in the right half of the abdomen and irregular menses. Ultrasonography showed a cystic lump with septations, extending from the upper abdomen to the pelvis; the right ovary was not seen. On exploration, there was a large cyst arising from the right lobe of the liver; the aspirate was bilious. Since the cyst wall was adherent to retroperitoneal structures, complete excision was not possible. A roux-en-Y loop of jejunum was anastomosed to the cyst wall. Biopsy of the wall showed inflammatory granulation tissue with trophozoites of Entamoeba histolytica. She was treated with metronidazole, and recovered uneventfully.
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Kaur N, Gupta S, Minocha VR, Singh UR. Massive amebic liver abscess--an unusual presentation. Indian Journal of Gastroenterology. 2001 Jul-Aug; 20(4): 157-8