Unusual complication of amebic liver abscess: Hepatogastric fistula.
Unusual complication of amebic liver abscess: Hepatogastric fistula.
复制标题
阿米巴肝脓肿的罕见并发症：肝胃瘘。
DOI：
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发表时间：
2015
影响因子：
2
通讯作者：
D. Asgaonkar
中科院分区：
文献类型：
--
作者：
Sunil Pawar;Vinay G. Zanwar;Pravir A Gambhire;Ashok R. Mohite;A. Choksey;P. Rathi;D. Asgaonkar
Amebic liver abscess is a parasitic disease which is often encountered in tropical countries. A hepatogastric fistula secondary to an amebic liver abscess is a rare complication of this disease and there are only a handful of reported cases in literature. Here we present a case of an amebic liver abscess which was complicated with the development of a hepatogastric fistula. The patient presented with the Jaundice, pain and distension of abdomen. The Jaundice and pain improved partially after he had an episode of brownish black colored increase in frequency of stools for 5 to 6 d. Patient also had ascites and anemia. He was a chronic alcohol drinker. Esophagogastroduodenoscopy performed in view of the above findings. It showed a fistulous opening with bilious secretions along the lesser curvature of the stomach. On imaging multiple liver abscesses seen including one in sub capsular location. The patient was managed conservatively with antiamebic medications along with proton pump inhibitors. The pigtail drainage of the sub capsular abscess was done. The patient improved significantly. The repeat endoscopy performed after about two months showed reduction in fistula size. A review of the literature shows that hepatogastric fistulas can be managed conservatively with medications and drainage, endoscopically with biliary stenting or with surgical excision.
DOI：
10.1016/s0039-6109(05)70502-8
发表时间：
1996
期刊：
The Surgical clinics of North America
影响因子：
--
作者：
Chung,MA;Wanebo,HJ
通讯作者：
Wanebo,HJ