Al Rehily Sanaa, Kaki Reham, Al Ghamdi Fahad, El-Hossary Dalia
Department of Medicine, King Abdulaziz University , Jeddah , Saudi Arabia.
Department of Pathology, King Abdulaziz University , Jeddah , Saudi Arabia.
JMM Case Rep. 2016 Jun 10;3(3):e005032. doi: 10.1099/jmmcr.0.005032. eCollection 2016 Jun.
Amoebiasis is the third most frequent cause of mortality after malaria and schistosomiasis. In developed countries, amebiasis is also seen in migrants who have travelled to endemic areas. The factors responsible for its progression from intestinal amebiasis to an amebic liver abscess are not fully understood.
A 54-year-old man presented with abdominal pain, fever and diarrhoea. Laparotomy confirmed an inflammatory mass involving the right colon, and he underwent a right hemicolectomy. He later developed abdominal distenstion due to an amoebic liver abscess and died from secondary nosocomial bacterial infection and surgical complications.
Amoeboma is an uncommon manifestation of amoebiasis, and can mimic both carcinoma and inflammatory bowel disease; so, distinguishing between these two conditions is the key to providing appropriate therapy. Hepatic amoebiasis is the most common extraintestinal disease of invasive amoebiasis. This clinical report presents a case of an uncommon parasitic disease in Saudi Arabia and discusses the difficulties encountered while attempting to establish the correct diagnosis. Hence, a high index of suspicion is crucial for diagnosing to avoid unnecessary surgery and further complications.
阿米巴病是继疟疾和血吸虫病之后第三大常见死因。在发达国家，前往流行地区的移民中也可见到阿米巴病。其从肠道阿米巴病发展为阿米巴肝脓肿的相关因素尚未完全明确。
一名54岁男性出现腹痛、发热和腹泻症状。剖腹探查证实右结肠有炎性肿块，遂行右半结肠切除术。他后来因阿米巴肝脓肿出现腹胀，最终死于继发性医院内细菌感染和手术并发症。
阿米巴瘤是阿米巴病的一种罕见表现，可类似癌症和炎症性肠病；因此，区分这两种情况是提供适当治疗的关键。肝阿米巴病是侵袭性阿米巴病最常见的肠外疾病。本临床报告介绍了沙特阿拉伯一例罕见寄生虫病病例，并讨论了在试图确立正确诊断时遇到的困难。因此，高度怀疑指数对于诊断至关重要，以避免不必要的手术和进一步并发症。
