Presentation
Fever, abdominal pain, and large liver lesion on USG
Patient Data
Age: 65 years
Gender: Male
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Info
There is a large well defined lobulated peripherally enhancing liver abscess in the left lobe of the liver. Another small similar lesion in segment VI of the liver.
Mild diffuse circumferential submucosal oedema in the caecum and adjacent proximal ascending colon with mucosal hyperenhancement and mild surrounding fat stranding, suggestive of colitis.
Trace bilateral pleural effusion and pericardial effusion.
Case Discussion
Ultrasound-guided liver abscess aspiration was done and pus appeared with anchovy sauce in appearance. The serology for antiamebic antibody was positive in this patient.
So the overall case is amoebic colitis with the complications of large liver abscess.
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