IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Amoebic liver abscesses

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Returned traveler from Indonesia with right upper quadrant pain and fever

Patient Data

Age: 45 years
Gender: Male
ct

Multiple low density liver lesions including one lesion with extra-capsular extension into the wall of the gastric fundus. Circumferential wall thickening of the cecum. Given the clinical setting, the appearance suggests colitis of the cecum with hepatic abscesses. 

Entamoeba histolytica infection was confirmed and treatment commenced. 

2 wk later Increasing pain

ct

Follow-up CT two weeks later shows progression of the segment 6 abscess with extra-capsular extension and possible invasion of the internal oblique muscle. 

Case Discussion

A case of amoebic liver abscess due to entamoeba histolytica. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.