Multiple Amoebic Liver Abscesses: A Case Report

Abstract

Amoebic liver abscess is common in tropical country, caused by a protozoan Entamoeba histolytica. It is the most common extra intestinal manifestation caused by invasion of amoeba. It is presented as fever, right hypochondria pain with tenderness and hepatomegaly. In recent year mortality by liver abscess is decreases by early diagnosis with ultrasonography. Most amoebic liver abscess presented with single and large. Multiple liver abscesses are not uncommon but in number of 15 liver abscesses are rare. Here we are presenting a case of 15 liver abscesses who was symptomatic in spite of intra venous antibiotics with metronidazole and ciprofloxacin of 7 days treatment. Symptoms were improved after ultrasonography guided percutaneous aspiration of large abscess. So aspiration has an important role in multiple liver abscesses.

Keywords

• amoeba
• aspiration
• metronidazole
• ultrasonography