Serial ultrasound in amoebic liver abscess

Simjee, A. E.; Patel, Ahmed; Gathiram, V.; Engelbrecht, H.E.; Singh, Kyra; Rooknoodeen, F.

doi:10.1016/s0009-9260(85)80027-1

Cited by 24 publications

(14 citation statements)

References 15 publications

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“…7) and 35.7% (5/14) showed echogenic contents (Figs.8, 9 and 10). These findings differed from those reported in adults [1,2,8,9,19] in which both pyogenic and amoebic abscesses could be initially hyperechoic and became hypoechoic after treatment.…”

Section: Methodscontrasting

confidence: 99%

Ultrasonic features of pyogenic and amoebic hepatic abscesses

et al. 1989

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Section: Methodscontrasting

confidence: 99%

Ultrasonic features of pyogenic and amoebic hepatic abscesses

et al. 1989

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“…The diagnosis of ALA was based on clinical presentations, sonographic findings (Ralls et al . 1982; Simjee et al . 1985; Missalek, 1992) and an excellent response to treatment with metronidazole (30 mg/KG/d for 7–10 days).…”

Section: Methodsmentioning

confidence: 99%

Ultrasound patterns and frequency of focal liver lesions after successful treatment of amoebic liver abscess

Blessmann

Khoa

et al. 2006

Tropical Med Int Health

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Summaryobjective To evaluate the frequency and morphology of residual liver lesions in patients successfully treated for amoebic liver abscess.methods Retrospective ultrasound-based study of 240 adult males from an amoebiasis-endemic area in Vietnam with a documented clinical history of amoebic liver abscess. Subjects were re-examined by hepatic ultrasound 1-13 years after abscess treatment.results In 17 subjects (7.1%) focal hypo-or isoechoic areas were identified within the liver with a diameter of 8-48 mm surrounded by a hyperechoic wall. These lesions were associated with positive amoeba serology, were located at the site of the previous abscess and their sonographic appearances corresponded to post-amoebic liver abscess residues. Residues were found in all groups of patients irrespectively of the time-span since the abscess was treated. However, lesions older than 7 years showed some degree of calcification. Otherwise, lesions were apparently inactive, as patients had no clinical symptoms or signs of inflammation and follow-up after one year revealed no changes in size or pattern.conclusion The vast majority of amoebic liver abscesses resolve to a sonographically normal parenchymal pattern. However, in a small proportion of cases characteristic residues remain. These residues do not require further treatment or diagnostic intervention and should be considered in the differential diagnosis of space-occupying liver lesions, in particular in patients from amoebiasis-endemic areas.keywords ultrasound, focal liver lesion, amoebic liver abscess, Entamoeba histolytica

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“…[9] In the present study, all the lesions healed between 28 to 286 days which is in agreement with other previous studies. [10,11,12] The healing pattern was the reduction in the sizes of the abscesses with absorption of contents. Serial ultrasound scans depicted the reduction in sizes very well.…”

Section: Fig 8: Usg Image Showing An Abscess In Right Lobe Of Liver mentioning

confidence: 99%

Ultrasonographic Evaluation of Amoebic Liver Abscess

Nagesh¹

2016

jebmh

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AIMSTo study the role of ultrasonography in the diagnosis, followup, resolution and percutaneous interventions of amoebic liver abscesses. METHODOLOGY25 patients with 38 amoebic liver abscesses were included in this study. The diagnostic criteria being compatible history, tender and enlarged liver, radiological and ultrasound findings and response to metronidazole therapy. Confirmed cases of amoebic liver abscesses were followed up by ultrasonography till complete resolution. RESULTSThe highest incidence of age was seen between 3 rd and 5 th decades (84%) with a male sex incidence of 92%, disease preponderance in people belonging to low socioeconomic group and a high incidence among alcoholics. The radiological findings were: Elevation of right dome of diaphragm (56%), restricted diaphragmatic movements (88%), right basal lung changes (48%), right pleural effusion (12%), and indistinct hazy diaphragmatic contour (40%). The ultrasonographic findings were: 87% of the abscesses were located in right lobe, 11% in left lobe and 2% in both lobes. Among the 25 patients, 76% showed solitary and 24% showed multiple abscesses. Of the 38 amoebic abscesses, 79% were hypoechoic, 13% were hyperechoic and 8% were anechoic. 11 patients were subjected for ultrasound-guided aspiration. CONCLUSIONUltrasound is a safe, reliable and non-invasive imaging modality for the diagnosis, followup and percutaneous interventions of amoebic liver abscesses. The sonographic resolution time of amoebic liver abscesses varies from 28 to 286 days.

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Serial ultrasound in amoebic liver abscess

Cited by 24 publications

References 15 publications

Ultrasonic features of pyogenic and amoebic hepatic abscesses

Ultrasonic features of pyogenic and amoebic hepatic abscesses

Ultrasound patterns and frequency of focal liver lesions after successful treatment of amoebic liver abscess

Ultrasonographic Evaluation of Amoebic Liver Abscess

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