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2016 ; 3
(3
): e005032
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Amoeboma in a Saudi resident: a case report
#MMPMID28348756
Al Rehily S
; Kaki R
; Al Ghamdi F
; El-Hossary D
JMM Case Rep
2016[Jun]; 3
(3
): e005032
PMID28348756
show ga
INTRODUCTION: Amoebiasis is the third most frequent cause of mortality after
malaria and schistosomiasis. In developed countries, amebiasis is also seen in
migrants who have travelled to endemic areas. The factors responsible for its
progression from intestinal amebiasis to an amebic liver abscess are not fully
understood. CASE PRESENTATION: A 54-year-old man presented with abdominal pain,
fever and diarrhoea. Laparotomy confirmed an inflammatory mass involving the
right colon, and he underwent a right hemicolectomy. He later developed abdominal
distenstion due to an amoebic liver abscess and died from secondary nosocomial
bacterial infection and surgical complications. CONCLUSION: Amoeboma is an
uncommon manifestation of amoebiasis, and can mimic both carcinoma and
inflammatory bowel disease; so, distinguishing between these two conditions is
the key to providing appropriate therapy. Hepatic amoebiasis is the most common
extraintestinal disease of invasive amoebiasis. This clinical report presents a
case of an uncommon parasitic disease in Saudi Arabia and discusses the
difficulties encountered while attempting to establish the correct diagnosis.
Hence, a high index of suspicion is crucial for diagnosing Entamoeba histolytica
to avoid unnecessary surgery and further complications.