A case of amoebic colitis with amoeboma and simultaneous liver abscesses. A diagnosis by colonoscopy
Journal | Volume 82 - 2019 |
Issue | Fasc.4 - Case reports |
Author(s) | M. Bronswijk, S. Van Gool |
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(1) Department of Gastroenterology and Hepatology, University Hospitals Leuven, Belgium ; (2) Department of Gastroenterology and Hepatology, General Hospitals Turnhout, Belgium. |
A 50-year-old patient was admitted to our department after developing severe abdominal cramps, watery diarrhea and fever, during four days whilst travelling abroad. Imaging identified a mass in the ascending colon with simultaneous liver lesions. Initially a diagnosis of metastatic colorectal cancer was suggested, however colonoscopy showed a large lesion with a central ulcer and surrounding inflammation in the ascending colon. Biopsies confirmed our clinical suspicion of amoebic colitis, complicated by development of an amoeboma and simultaneous liver abscesses. Amoeboma formation is a rare complication of amoebiasis, however a simultaneous presentation with liver abscesses, amoebic colitis and an amoeboma might even be less frequent. Despite its rarity physicians should maintain a high index of suspicion of patients presenting with synchronous liver and colon lesions, especially as travel to endemic areas has increased. (Acta gastroenterol. belg., 2019, 82, 539-541). |
© Acta Gastro-Enterologica Belgica. PMID 31950812 |