Clinico-Radiological Correlation in Amoebic Liver Abscess
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Background: Amoebiasis creates an important global burden in the tropical and subtropical areas, affecting approximately 12% of the world’s population at any time. A high index of suspicion, a thorough history and clinical examination followed by an ultrasound screening of the abdomen is necessary for timely diagnosis and prompt initiation of antiamoebic drugs to prevent occurrence of complications. Materials & Methods: A Prospective time bound study done on 70 patients admitted in the medical wards in Mahatma Gandhi Hospital, Jaipur, from May 2015 to June 2017. A detailed history, thorough physical examination, Laboratory tests were done in all cases. USG was used to establish a Space occupying lesion in the liver and Entamoeba Histolytica serology was done to confirm the etiology. Serology positive patients with visible SOL on ultrasound were included in this study. Results: The study showed that the mean age of patient’s was 42.86 years and male to female ratio was 10.66:1. Presenting complaints were vomiting (65/70, 92.85%), followed by pain abdomen (64/70, 91.42%) and radiologically, majority of patients had a solitary abscess cavity (63/70, 90%) whereas 7 (10%) patients had multiple abscess cavities in the liver. Conclusion: Amoebiasis is endemic in India, due to tropical climate, poor sanitary conditions, and a lower socioeconomic status among rural inhabitants. However the diagnosis of amebic liver abscess is sometimes difficult and a proper history, clinical examination, and Ultrasound screening are of utmost importance since its clinical manifestations are highly variable.
Authors and Affiliations
Vinayak Kalla, H. P Paliwal, Shubhangi Kalla, Aman Manocha, Prateek Jain
Keywords
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- EP ID EP530032
- DOI 10.21276/ijmrp.2018.4.1.059
- Views 83
- Downloads 0
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