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Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 53-56

Amoebic liver abscess in an infant

1 Department of Radiology, Faculty of Clinical Sciences, College of Medicine, Kaduna State University, Zaria, Kaduna, Nigeria
2 Department of Radiology, Faculty of Clinical Sciences, College of Medicine, Ahmadu Bello University, Zaria, Kaduna, Nigeria

Correspondence Address:
Dr. John Sheyin
Department of Radiology, Faculty of Clinical Sciences College of Medicine, Kaduna State University, Kaduna
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_37_19

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Amoebic liver abscess (ALA) is the most common inflammatory space occupying lesion of the liver in human. It is considered the third leading cause of death among the parasitic diseases, surpassed only by malaria and schistosomiasis. It has a highly variable presentation causing diagnostic difficulties. ALA if untreated, its complications could lead to high morbidity and mortality. We present a 1 year old child with abdominal pain and distension, persistent fever and weight loss. The abdomen was distended with tenderness on the epigastric and right hypochondrial regions. Hematological and biochemical profile were normal. Abdominal CT showed hepatomegaly, with a huge hypodense mass within the liver with enhancement of the liver parenchymal on contrast injection. There was breach of the hepatic capsule with localized intraperitoneal collection. A diagnosis of pyogenic liver abscess was made. Attempt to aspirate under US guide was unsuccessful. Patient underwent surgery and 500 ml of pus was drained.

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