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New Indian Journal of Surgery 15(4):p 147-149, October-December 2024. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.15424.3
Case Report
Perinatal Amoebic Liver Abscess in 3rd Trimester Twin Pregnancy: A Case Report
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
New Indian Journal of Surgery 15(4):p 147-149, October-December 2024. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.15424.3
How Cite This Article:
Kar S, Ankit. Perinatal amoebic liver abscess in 3rd trimester twin pregnancy: a case report. New Indian J Surg. 2024;15(4):147-149.Timeline
Received : October 07, 2024
Accepted : November 12, 2024
Published : December 28, 2024
Abstract
Background: Overall 10% of the world’s population is infected with Entamoeba histolytica (E. histolytica) but out of this only 1% becomes symptomatic. Nearly 20% of the Indian population show manifestations of the disease. Liver abscess complicating a pregnancy is very rare and most common organism responsible for this complication is Escherichia Coli and Bacteroides spp.1 Case Description: Here we are presenting a case of high risk pregnancy who was diagnosed as a case of perinatal liver abscess with multiple large collection. She was admitted in ICU and was given Non-invasive and High flow nasal cannula support as per her need. After detailed evaluation and consultation with other department, pig-tail catheterization was done. Patient was managed conservatively and was later on discharged under satisfactory condition but lost to follow-up. Literature Review: Amoebic liver abscess (ALA) is the most common extra-intestinal manifestation of invasive amoebiasis. Pregnancy has been described as a risk factor for development of invasive amoebiasis and management of these patients is especially complex.3 The American College of Obstetricians and Gynecologists (ACOG) guidelines recommend ultrasound and MRI as the modalities of choice.3 Metronidazole is the treatment of choice for pregnant women for amoebic liver abscess. Metronidazole is a US Food and Drug Administration (FDA) pregnancy category B drug, is generally well tolerated and although it crosses the placenta it seems to have no significant embryo toxic effects.3 Clinical Relevance: Here the case of amebic liver abscess concurrent with twin pregnancy possess a challenge for clinician. Detailed analysis and discussion with other department is main approach in dealing such high risk cases.
References
- 1. Yüksel, B., Seven, A., Kucur, S., Gözükara, I., & Keskin, N. (2013). Presentation and management of pyogenic liver abscess in a 23-week pregnant woman. Case reports in obstetrics and gynecology, 2013, 845215
- 2. Schmiedecke, S. S., Napolitano, P. G., & Estrada, S. M. (2019). Perinatal Pyogenic Liver Abscess: A Rare Entity and First Reported Case of Klebsiella pneumoniae. AJP reports, 9(3), e251–e255
- 3. Kaiser, R. W. J., Allgeier, J., Philipp, A. B., Mayerle, J., Rothe, C., Wallrauch, C., & Op den Winkel, M. (2020). Development of amoebic liver abscess in early pregnancy years after initial amoebic exposure: a case report. BMC gastroenterology, 20(1), 424.
- 4. Sharma, N., Sharma, A., Varma, S., Lal, A., & Singh, V. (2010). Amoebic liver abscess in the medical emergency of a North Indian hospital. BMC research notes, 3, 21.
- 5. Akhondi, H., & Sabih, D. E. (2023). Liver Abscess. In StatPearls. StatPearls Publishing
- 6. Singh, A., Banerjee, T., Kumar, R., & Shukla, S. K. (2019). Prevalence of cases of amebic liver abscess in a tertiary care centre in India: A study on risk factors, associated microflora and strain variation of Entamoeba histolytica. PloS one, 14(4), e0214880.
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All authors contributed significantly to the work and approve its publication.
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Cite this article
Kar S, Ankit. Perinatal amoebic liver abscess in 3rd trimester twin pregnancy: a case report. New Indian J Surg. 2024;15(4):147-149.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| October 07, 2024 | November 12, 2024 | December 28, 2024 |
DOI: https://dx.doi.org/10.21088/nijs.0976.4747.15424.3
Keywords
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Timeline
| Received | October 07, 2024 |
| Accepted | November 12, 2024 |
| Published | December 28, 2024 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
