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Amoebic liver abscess diagnosis

 
 
 
 
 
 
 
 
 
 
 
Diagnosis of amoebic liver abscess
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Signs and symptoms
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)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hematogenous
 
 
 
Biliary
 
 
 
Underlying lesions or anamolies
 
 
 
Other causes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Portal vein
Intra-abdominal infection
Pyelophlebitis
Abdominal abscess
Amoebiasis
Arterial
ENT
Oral cavity
 
 
 
Gall stones
Obstructed bile duct
Contiguous spread, ascending cholangitis
Bile duct ischemia
 
 
 
Biliary cyst
Hydatid cyst
Cystadenoma
Necrosis of a primary tumor
Superinfection of a metastasis
Caroli disease
Biliary stricture
Sclerosing cholangitis
Ischemic cholangitis
 
 
 
Radiofrequency ablation / Chemoembolization in the presence of infected bile
Pancreatoduodenectomy
Liver transplantation
Hepatic trauma ± arterial embolization

Liver abscess

 
 
 
 
 
 
 
 
 
 
 
Liver abscess
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risk factors
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hematogenous
 
 
 
Biliary
 
 
 
Underlying lesions or anamolies
 
 
 
Other causes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Portal vein
Intra-abdominal infection
Pyelophlebitis
Abdominal abscess
Amoebiasis
Arterial
ENT
Oral cavity
 
 
 
Gall stones
Obstructed bile duct
Contiguous spread, ascending cholangitis
Bile duct ischemia
 
 
 
Biliary cyst
Hydatid cyst
Cystadenoma
Necrosis of a primary tumor
Superinfection of a metastasis
Caroli disease
Biliary stricture
Sclerosing cholangitis
Ischemic cholangitis
 
 
 
Radiofrequency ablation / Chemoembolization in the presence of infected bile
Pancreatoduodenectomy
Liver transplantation
Hepatic trauma ± arterial embolization