Amoebic liver abscess diagnostic approach

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

Diagnostic Approach

Diagnosis of amoebic liver abscess

Signs and symptoms(a) Fever, abdominal pain, point tenderness over the liver, hepatomegaly, weight loss History Travel to endemic areas, immigrant from endemic areas, having had dysentery within last years, gender (male/female:9/1

Laboratory diagnosis(LD) and Radiologic Methods (RM) (US, CT or MRI)

LD negative and RM negative:Floow

LD negative and RM positive:aspiration, if possible(b)

LD positive and RM positive: chemotherapy / surgical treatment

Pyogenic abscesses Neoplasia (hepatocellular carcinoma) Cysticercosis Cystic echinococcosis

ALA