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Amoebic Liver Abscess

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C Muller – One of the best experts on this subject based on the ideXlab platform.

  • gastric perforation of a left lobe Amoebic Liver Abscess
    European Journal of Gastroenterology & Hepatology, 2000
    Co-Authors: A Puspok, H P Kiener, M Susani, C Muller


    : Liver Abscess is the most common extra-intestinal manifestation of invasive amoebiasis. Perforation of the Abscess is a potential life-threatening complication. We report a case where perforation into the stomach was successfully managed conservatively. The initial diagnosis in this case was made by gastroscopy and biopsy. To our knowledge, only five cases of gastric perforation of an Amoebic Liver Abscess have been reported in the English literature. In none of these cases was the diagnosis established by histology of gastric biopsy specimens.

G Kumar – One of the best experts on this subject based on the ideXlab platform.

  • left lobe Amoebic Liver Abscess mimicking a perforated gastric tumour
    European Journal of Radiology Extra, 2008
    Co-Authors: Kasthoori Jayarani, G Kumar


    Abstract Amoebic Liver Abscess is an inflammatory space-occupying lesion of the Liver caused by Entamoeba histolytica . The wide variety of clinical presentations and the multitude of complications produced by Liver Abscess is based on anatomical peculiarities. We report an unusual case of Amoebic Liver Abscess involving the left lobe of the Liver which mimics a gastric tumour at presentation.

Virendra Singh – One of the best experts on this subject based on the ideXlab platform.

  • complications of catheter drainage for Amoebic Liver Abscess
    Journal of clinical and experimental hepatology, 2015
    Co-Authors: Navneet Sharma, Ashish Bhalla, Harpreet Kaur, Naveen Kalra, Susheel Kumar, Virendra Singh


    Per-cutaneously inserted catheter drainage is an accepted treatment modality for a large Amoebic Liver Abscess. Complications that can arise are; secondary infection, bleeding into the Abscess cavity, inadvertent catheter misplacement into the IVC and rupture of Abscess with spillage into the peritoneal cavity. We report a case of a large Amoebic Liver Abscess that presented with complications related to per-cutaneously inserted catheter drainage.

  • Amoebic Liver Abscess in the medical emergency of a north indian hospital
    BMC Research Notes, 2010
    Co-Authors: Navneet Sharma, Aman Sharma, Subhash Varma, Virendra Singh


    Amoebic Liver Abscess although fairly common in developing countries, yet, there is limited data on the clinical presentation to the emergency department. A retrospective analysis of 86 indoor cases of Amoebic Liver Abscess presenting to the emergency department over a 5-year period was carried out. The mean age of patients was 40.5 ± 2.1 years (male-female ratio = 7:1). Fever, pain abdomen and diarrhea were seen in 94%, 90% and 10.5% respectively. Duration of symptoms less than 2 weeks was seen in 48% cases. Hepatomegaly was present in 16% cases only, a right sided pleural effusion in 14% cases and ascites in 5.7%. On ultrasound, a right lobe Abscess was seen in 65%, a left lobe Abscess in 13% and multiple Abscesses in both the lobes in 22% cases. Seventy one cases underwent per-cutaneous pigtail catheter drainage for a mean period of 13.4 ± 0.8 days. The mortality rate was 5.8%. On multivariate regression and correlation analysis, a higher number of inserted pigtail catheters correlated to mortality. Amoebic Liver Abscess presents commonly to the emergency department and should be suspected in persons with prolonged fever and pain abdomen. Conservative management for uncomplicated Amoebic Liver Abscess and insertion of single per-cutaneous pigtail catheter drainage for complicated Amoebic Liver Abscess are efficacious as treatment modalities.

  • pathophysiology of jaundice in Amoebic Liver Abscess
    American Journal of Tropical Medicine and Hygiene, 2008
    Co-Authors: Virendra Singh, Ashish Bhalla, Navneet Sharma, Sushil Mahi, Paramjeet Singh


    Jaundice in patients with Amoebic Liver Abscess is a frequent occurrence. However, the pathophysiology of jaundice in these patients is not fully understood. Hepatic necrosis leads to damage to bile ducts as well as various vascular structures, which in turn leads to biliovascular fistula and jaundice. We studied the mechanism of jaundice in patients with Amoebic Liver Abscess. We prospectively evaluated 12 patients with Amoebic Liver Abscess and jaundice from February 2002 to August 2007. All patients underwent various investigations, including imaging studies. There were 11 males and 1 female patient with a mean age of 41.3 years. Mean duration of illness before presentation was 13.8 days. All patients had fever and jaundice. We detected damaged hepatic veins and bile ducts in all patients with Amoebic Liver Abscess causing biliovascular fistula and hyperbilirubinemia, which reverted to normal after biliary diversion with nasobiliary drainage. Jaundice in patients with Amoebic Liver Abscess is caused by biliovascular fistula resulting from hepatic necrosis leading to damage to bile ducts and hepatic veins.