Indian pediatrics · 2016
Gastrointestinal Fistulization in Amebic Liver Abscess.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Srikanth K P, Thapa B R, Lal Sadhna B
Аннотация
BACKGROUND: Liver abscess is a common deep seated abscess in children; amebic liver abscess is associated with more local complications.
CASE CHARACTERISTICS: We report two preschool children presenting with short history of pain, fever and right upper quadrant pain. The abscess communicated with gastro-intestinal tract (ascending colon in case 1 and duodenum in case 2), and diagnosis of amebic liver abscess was confirmed by DNA PCR.
OUTCOME: Both children were successfully managed with intravenous antibiotics and catheter drainage.
MESSAGE: Gastrointestinal fistulization may be rarely seen in amebic liver abscess. Conservative management with antibiotics, catheter drainage and supportive care may suffice.
CASE CHARACTERISTICS: We report two preschool children presenting with short history of pain, fever and right upper quadrant pain. The abscess communicated with gastro-intestinal tract (ascending colon in case 1 and duodenum in case 2), and diagnosis of amebic liver abscess was confirmed by DNA PCR.
OUTCOME: Both children were successfully managed with intravenous antibiotics and catheter drainage.
MESSAGE: Gastrointestinal fistulization may be rarely seen in amebic liver abscess. Conservative management with antibiotics, catheter drainage and supportive care may suffice.