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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2016; 07(04): 150-152
DOI: 10.4103/0976-5042.195766
Case Report
Journal of Digestive Endoscopy

Hepatoduodenal fistula: A rare complication of liver abscess

Ravikant Kumar
Department of Gastroenterology, MLN Medical College, Allahabad, Uttar Pradesh, India
,
Pavan Kumar
Department of Gastroenterology, MLN Medical College, Allahabad, Uttar Pradesh, India
,
K. N. Saxena
Department of Gastroenterology, MLN Medical College, Allahabad, Uttar Pradesh, India
,
Manisha Dwivedi
Department of Gastroenterology, MLN Medical College, Allahabad, Uttar Pradesh, India
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Common complications of amebic liver abscess (ALA) include rupture into the peritoneum, thorax, and pericardium. Rupture into the duodenum is extremely rare. We report a case of ALA rupturing into the duodenum, forming a fistulous tract. To the best of our knowledge, this is the fifth endoscopically and radiologically proven case of hepatoduodenal fistula caused by liver abscess.

Key words

Air pocket - amebic - gastrointestinal fistula - rupture
 

  • References

  • 1 Grecu F, Bulgariu T, Blanaru O, Dragomir C, Lunca C, Stratan I, et al. Invasive amebiasis. Chirurgia (Bucur) 2006;101:539-42.
  • 2 Rao S, Solaymani-Mohammadi S, Petri WA Jr., Parker SK. Hepatic amebiasis: A reminder of the complications. Curr Opin Pediatr 2009;21:145-9.
  • 3 Mowji PJ, Cohen AJ, Potkin B, Viltuznik J. Amebic liver abscess with hepatoduodenal fistula. Am J Gastroenterol 1987;82:558-9.
  • 4 Peters RS, Gitlin N, Libke RD. Amebic liver abscess. Annu Rev Med 1981;32:161-74.
  • 5 Budhiraja S, Dhatt GS, Babra RS. Hepatogastric fistula in a pediatric patient. Pediatr Surg Int 2006;22:853-5.
  • 6 Siddiqui MN, Rizvi SB, Ahmed M, Rizvi IH. Case report: Amoebic liver abscess complicated by a hepatoduodenal fistula. Clin Radiol 1992;46:142-3.
  • 7 Lee JK, Stein SL. Radiographic and endoscopic diagnosis and treatment of enterocutaneous fistulas. Clin Colon Rectal Surg 2010;23:149-60.
  • 8 Moazam F, Nazir Z. Amebic liver abscess: Spare the knife but save the child. J Pediatr Surg 1998;33:119-22.
  • 9 Sheldon GF, Gardiner BN, Way LW, Dunphy JE. Management of gastrointestinal fistulas. Surg Gynecol Obstet 1971;133:385-9.