Absceso hepático amebiano: ¿tratamiento farmacológico o punción-aspiración?

Amoebiasis is a widespread parasitic disease, more common in underdeveloped countries, caused by the protozoan Entamoeba histolytica. Patients typically present with acute or chronic abdominal pain and associated constitutional symptoms, but rarely have concurrent dysentery or bloody stools. In most cases, medical management alone is sufficient to treat uncomplicated cases. We describe here our findings and treatment of a patient with an amoebic liver abscess who presented with high levels of CA19-9 and CA 125 in the abscess pus, and was misdiagnosed of liver malignancy. This case report demonstrates the difficulty encountered in the differential diagnosis of inflammatory processes and malignant tumours in the liver. Despite adequate pre-operative imaging and thorough intra-operative examination and given the low suspicion for the disease and clinical mimicry, diagnosis, in such cases, is made by histology.

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Elevated levels of CA 19-9 and CA 125 in an amoebic cyst mimicking liver cancer

Kopanakis

Katseli

Vasiliades

et al. 2011

Hellenic J Surg

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Absceso hepático amebiano autóctono

et al. 2010

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Análisis de factores asociados al fracaso del tratamiento médico del absceso hepático amebiano

et al. 2008

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Absceso hepático amebiano: ¿tratamiento farmacológico o punción-aspiración?

Cited by 5 publications

References 14 publications

Elevated levels of CA 19-9 and CA 125 in an amoebic cyst mimicking liver cancer

Elevated levels of CA 19-9 and CA 125 in an amoebic cyst mimicking liver cancer

Absceso hepático amebiano autóctono

Análisis de factores asociados al fracaso del tratamiento médico del absceso hepático amebiano

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