Open AccessFULMINANT AMOEBIC COLITIS CAUSING CAECAL GANGRENE WITH RUPTURED LIVER ABSCESS
Author(s) -
A Suganth.,
G Vimala,
R. Kannan
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/6711041
Subject(s) - medicine , liver abscess , abscess , surgery , abdomen , gangrene , amoebic liver abscess , laparotomy , abdominal pain , acute abdomen
Liver abscess is the most common extra intestinal manifestation in patients with amoebiasis.Amoebic abscess canpresent in paracaecal region and liver .Synchronous presence of caecal gangrene with ruptured liver abscess intoperitoneum is rare.It has a high rate of morbidity and mortality especially in malnourished patients.Here we present acase of 66 years old male who presented to casualty with complaints of abdomen pain with abdomendistension.Radiological investigations showed ruptured liver abscess.Inview of peritonitis,patient was shifted toemergency theatre for laparotomy.Intraoperative findings were ruptured liver abscess with Caecum found to besloughed out and gangrenous.Removal of Caecum with limited resection of ascending colon and distal ileum done andbowel exteriorised.Post operatively patient started on oral diet on second day and discharged on seventh day .Patientwas readmitted for abdomen pain and percutaneous drainage was done for residual liver abscess.Prompt suspicion ofcaecal pathology should always be made in patients with ruptured liver abscess and early intervention is needed toprevent mortality