Abstract
A case of amebic liver abscess with hepatobronchial fistula is reported in this paper.
The patient was a 47-year-old man sufferinc from a spike fever and right hypochondralgia. Imacing diagnosis revealed a solitary liver abscess penetrating into the pleural space through the diaphragm. Thoracentesis for drainage, administration of antibiotics and surgical drainage of the liver abscess were performed, resulting in aggravation with complicated hepatobronchial fistula. Tentative occlusion of the hepatobronchial fistula with celform under endoscopy and administration of Metronidazole produced provisional improvement. Howerver, finally, patient died of multiple orcan failure.
Recently, the diagnosis of this disease has become easy by serological tests, even in the early stage.
Liver abscess aspiration is not advocated frequently as a therapentic measure. But when the abscess is big, especially with hepatobronchial fistula, sufficient drainage is necessary to prevent the spread of amebae.
