Surgical treatment of extraintestinal amoebiasis with development of right lobe liver abscess: case study
DOI:
https://doi.org/10.18203/2349-2902.isj20243249Keywords:
Amoebiasis, Amoebic liver abscess, Percutaneous liver abscess drainageAbstract
The treatment of extraintestinal amoebiasis is a major surgical concern given the low prevalence in the Republic of Belarus and consequently difficult diagnosis. In this article, we present our own experience with the surgical treatment of a patient with an amoebic liver abscess. The patient underwent laparoscopy guided drainage of the abscess of the right lobe of the liver according to the technique developed in the clinic. A puncture-drainage system consisting of a Foley catheter and a guide stylet was used. The patient was discharged in satisfactory condition for outpatient treatment and observation by a surgeon, a general practitioner, and an infectious disease specialist. There were no repeated visits or admissions. The presented case emphasizes the importance of combined treatment of amoebic liver abscesses using percutaneous drainage and conservative therapy with amoebicidal drugs such as metronidazole.
Metrics
References
Zulfiqar H, Mathew G, Shawn H. Amebiasis. StatPearls. Treasure Island (FL): StatPearls Publishing. 2023. Available at: https://www.ncbi. nlm.nih.gov/books. Accessed on 3 June 2024.
Jackson-Akers JY, Prakash V, Oliver TI. Amebic liver abscess. StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Available at: https://www.ncbi.nlm.nih.gov/books/NBK430832. Accessed on 3 June 2024.
Espinosa-Cantellano M, Martínez-Palomo A. Pathogenesis of intestinal amebiasis: From molecules to disease. Clin Microbiol Rev. 2000;13(2):318-31.
Chaudhary S, Noor MT, Jain S, Kumar R, Thakur BS. Amoebic liver abscess: A report from central India. Trop Doct. 2016;46(1):12-5.
Anesi JA, Gluckman S. Amebic liver abscess. Clin Liver Dis (Hoboken). 2015;6(2):41-3.
Swaminathan V, O’Rourke J, Gupta R, Kiire CF. An unusual presentation of an amoebic liver abscess: The story of an unwanted souvenir. BMJ Case Rep. Published online 2013.
Tharmaratnam T, Kumanan T, Iskandar MA, et al. Entamoeba histolytica and amoebic liver abscess in northern Sri Lanka: A public health problem. Trop Med Health. 2020;1:48.
Maria Salles J, Alberto Moraes L, Costa Salles M. Hepatic Amebiasis. Brazilian J Infect Dis. 2003;7(2):96-110.
Wells CD, Arguedas M. Amebic Liver Abscess. South Med J. 2004;97(7):673-2.
Mahmoud A, Abuelazm M, Ahmed AAS, et al. Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials. Ann Transl Med. 2023;11(5):190-9.
Telich-Tarriba JE, Parrao-Alcántara IJ, Montes-Hernández M, Vega-Pérez J. Drainage of amoebic liver abscess by single incision laparoscopic surgery. Report of a case. Cir Cir. 2015;83(4):329-33.
Ndong A, Tendeng JN, Diallo AC, Dieye A, Diao ML, Diallo S, et al. Efficacy of laparoscopic surgery in the treatment of hepatic abscess: A systematic review and meta-analysis. Ann Med Surg. 2022;75:103308.
Tsyrkunov VM, Prokopchik NI, Andrianova DS, Bogomazova NI, Fedosenko TI, Gaiduk AS, et al. Amoebiasis in the Grodno region: imported or endemic infection? Hepatol Gastroenterol. 2022;6(1):54-65.