J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1236KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(2): 211-215, 1987

Case report

A CASE OF AMEBIC LIVER ABSCESS RUPTURED INTO THE STOMACH

*) Osaka Socio-medical Center, Department of Surgery, Osaka, Japan
**) First. Department of Surgery, Osaka City University Medical School, Osaka, Japan

Shouhei Sakazaki*), Seishi Terao*), Atsushi Kitamura**), Naoyuki Taenaka**), Kaoru Umeyama**)

A fourty-eight year-old man complained of upper abdominal pain and diarrhea with mucinous bloody stool. He had not been abroad. Except high fever, anemia, leukocytosis and elevated rate of erythrocyte sedimentation, laboratory findings were not abnormal. Gastrofiberscopy showed the protrusion of gastric mucosa with a hollow on its surface in the angle. Abdominal CT scan and echogram revealed an abscess in the right hepatic lobe and an abscess in the left lobe. Ulceration and small protrusion of the rectal mucosa were found by romanoscopy. Stool examinations could not reveal ameabas, but serological test for amebiasis by the Ouchterlony method showed positive.
Under the diagnosis of the perforation into the stomach of amebic liver abscess, he was treated with Metronidazole and tetracycline. But, as a diffuse shadow appeared in the right thoracic cavity on the chest x-ray films with bloody sputa, perforation of amebic liver abscess to the right thoracic cavity was suspected. Laparotomy showed the communication of the abscess to gastric lumen. The post operative course was uneventful. We reported a case with the rare complication of amebic liver absecess.

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