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Hepatic Amebic Abscess
Michael P. Federle, MD, FACR
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19
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10

KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Localized collection of pus in liver due to Entamoeba histolytica with destruction of hepatic parenchyma

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Cavailloles FA et al: Multiple liver amoebic abscesses detected on FDG PET/CT. Clin Nucl Med. 39(1):79-80, 2014
                                              2. Congly SE et al: Amoebic liver abscess in USA: a population-based study of incidence, temporal trends and mortality. Liver Int. 31(8):1191-8, 2011
                                              3. Gunther J et al: Short report: Amebiasis-related mortality among United States residents, 1990-2007. Am J Trop Med Hyg. 85(6):1038-40, 2011
                                              4. Benedetti NJ et al: Imaging of hepatic infections. Ultrasound Q. 24(4):267-78, 2008
                                              5. Mortelé KJ et al: The infected liver: radiologic-pathologic correlation. Radiographics. 24(4):937-55, 2004
                                              6. Sodhi KS et al: Hepatic and inferior vena caval thrombosis: vascular complication of amebic liver abscess. J Emerg Med. 34(2):155-7, 2008
                                              7. Balci NC et al: MR imaging of infective liver lesions. Magn Reson Imaging Clin N Am. 10(1):121-35, vii, 2002
                                              8. Ralls PW: Inflammatory disease of the liver. Clin Liver Dis. 6(1):203-25, 2002
                                              9. Sharma MP et al: Management of amebic and pyogenic liver abscess. Indian J Gastroenterol. 20 Suppl 1:C33-6, 2001
                                              10. Hughes MA et al: Amebic liver abscess. Infect Dis Clin North Am. 14(3):565-82, viii, 2000
                                              11. Natarajan A et al: Ruptured liver abscess with fulminant amoebic colitis: case report with review. Trop Gastroenterol. 21(4):201-3, 2000
                                              12. Das P et al: Molecular mechanisms of pathogenesis in amebiasis. Indian J Gastroenterol. 18(4):161-6, 1999
                                              13. Rajak CL et al: Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. AJR Am J Roentgenol. 170(4):1035-9, 1998
                                              14. Ralls PW: Focal inflammatory disease of the liver. Radiol Clin North Am. 36(2):377-89, 1998
                                              15. Kimura K et al: Amebiasis: modern diagnostic imaging with pathological and clinical correlation. Semin Roentgenol. 32(4):250-75, 1997
                                              16. Takhtani D et al: Intrapericardial rupture of amebic liver abscess managed with percutaneous drainage of liver abscess alone. Am J Gastroenterol. 91(7):1460-2, 1996
                                              17. Van Allan RJ et al: Uncomplicated amebic liver abscess: prospective evaluation of percutaneous therapeutic aspiration. Radiology. 183(3):827-30, 1992
                                              18. Gibney EJ: Amoebic liver abscess. Br J Surg. 77(8):843-4, 1990
                                              19. Frey CF et al: Liver abscesses. Surg Clin North Am. 69(2):259-71, 1989
                                              20. Ken JG et al: Perforated amebic liver abscesses: successful percutaneous treatment. Radiology. 170(1 Pt 1):195-7, 1989
                                              21. Rustgi AK et al: Pyogenic and amebic liver abscess. Med Clin North Am. 73(4):847-58, 1989
                                              22. Jeffrey RB Jr et al: CT of small pyogenic hepatic abscesses: the cluster sign. AJR Am J Roentgenol. 151(3):487-9, 1988
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Localized collection of pus in liver due to Entamoeba histolytica with destruction of hepatic parenchyma

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • Fluoroscopic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Cavailloles FA et al: Multiple liver amoebic abscesses detected on FDG PET/CT. Clin Nucl Med. 39(1):79-80, 2014
                                                                                          2. Congly SE et al: Amoebic liver abscess in USA: a population-based study of incidence, temporal trends and mortality. Liver Int. 31(8):1191-8, 2011
                                                                                          3. Gunther J et al: Short report: Amebiasis-related mortality among United States residents, 1990-2007. Am J Trop Med Hyg. 85(6):1038-40, 2011
                                                                                          4. Benedetti NJ et al: Imaging of hepatic infections. Ultrasound Q. 24(4):267-78, 2008
                                                                                          5. Mortelé KJ et al: The infected liver: radiologic-pathologic correlation. Radiographics. 24(4):937-55, 2004
                                                                                          6. Sodhi KS et al: Hepatic and inferior vena caval thrombosis: vascular complication of amebic liver abscess. J Emerg Med. 34(2):155-7, 2008
                                                                                          7. Balci NC et al: MR imaging of infective liver lesions. Magn Reson Imaging Clin N Am. 10(1):121-35, vii, 2002
                                                                                          8. Ralls PW: Inflammatory disease of the liver. Clin Liver Dis. 6(1):203-25, 2002
                                                                                          9. Sharma MP et al: Management of amebic and pyogenic liver abscess. Indian J Gastroenterol. 20 Suppl 1:C33-6, 2001
                                                                                          10. Hughes MA et al: Amebic liver abscess. Infect Dis Clin North Am. 14(3):565-82, viii, 2000
                                                                                          11. Natarajan A et al: Ruptured liver abscess with fulminant amoebic colitis: case report with review. Trop Gastroenterol. 21(4):201-3, 2000
                                                                                          12. Das P et al: Molecular mechanisms of pathogenesis in amebiasis. Indian J Gastroenterol. 18(4):161-6, 1999
                                                                                          13. Rajak CL et al: Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. AJR Am J Roentgenol. 170(4):1035-9, 1998
                                                                                          14. Ralls PW: Focal inflammatory disease of the liver. Radiol Clin North Am. 36(2):377-89, 1998
                                                                                          15. Kimura K et al: Amebiasis: modern diagnostic imaging with pathological and clinical correlation. Semin Roentgenol. 32(4):250-75, 1997
                                                                                          16. Takhtani D et al: Intrapericardial rupture of amebic liver abscess managed with percutaneous drainage of liver abscess alone. Am J Gastroenterol. 91(7):1460-2, 1996
                                                                                          17. Van Allan RJ et al: Uncomplicated amebic liver abscess: prospective evaluation of percutaneous therapeutic aspiration. Radiology. 183(3):827-30, 1992
                                                                                          18. Gibney EJ: Amoebic liver abscess. Br J Surg. 77(8):843-4, 1990
                                                                                          19. Frey CF et al: Liver abscesses. Surg Clin North Am. 69(2):259-71, 1989
                                                                                          20. Ken JG et al: Perforated amebic liver abscesses: successful percutaneous treatment. Radiology. 170(1 Pt 1):195-7, 1989
                                                                                          21. Rustgi AK et al: Pyogenic and amebic liver abscess. Med Clin North Am. 73(4):847-58, 1989
                                                                                          22. Jeffrey RB Jr et al: CT of small pyogenic hepatic abscesses: the cluster sign. AJR Am J Roentgenol. 151(3):487-9, 1988