Large Amoebic Liver Abscess with Persistent Biliary Fistula
24 September 2019 (online)
Liver abscess with biliary communication poses management problem if percutaneous drainage is performed. We report a case of large amoebic liver abscess (ALA) with jaundice. Prolonged high‑output bile drainage after percutaneous drainage of ALA showed suspicion of communication of abscess with intrahepatic bile ducts (biliary fistula). The same was managed successfully with endoscopic biliary stent placement with medical management.
- 1 Gall JK, Vincent AL, Greene JN, Sandin RL, Sniffen JC. Amebic liver abscess. Infect Med 2001; 18: 548-53
- 2 Agarwal DK, Baijal SS, Roy S, Mittal BR, Gupta R, Choudhuri G. et al. Percutaneous catheter drainage of amebic liver abscesses with and without intrahepatic biliary communication: A comparative study. Eur J Radiol 1995; 20: 61-4
- 3 Ibrarullah M, Agarwal DK, Baijal SS, Mittal BR, Kapoor VK. Amebic liver abscess with intra-biliary rupture. HPB Surg 1994; 7: 305-10
- 4 Sharma BC, Garg V, Reddy R. Endoscopic management of liver abscess with biliary communication. Dig Dis Sci 2012; 57: 524-7
- 5 Sandeep SM, Banait VS, Thakur SK, Bapat MR, Rathi PM, Abraham P. et al. Endoscopic biliary drainage in patients with amebic liver abscess and biliary communication. Indian J Gastroenterol 2006; 25: 125-7