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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(02): 077-079
DOI: 10.4103/jde.JDE_56_17
Case Report
Society of Gastrointestinal Endoscopy of India

Large Amoebic Liver Abscess with Persistent Biliary Fistula

Apurva S. Shah
Department of Gastroenterology and hepatology, Apollo Hospitals International Limited, Ahmedabad, Gujarat, India
,
Shravan Bohra
Department of Gastroenterology and hepatology, Apollo Hospitals International Limited, Ahmedabad, Gujarat, India
› Author Affiliations
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Publication History

Publication Date:
24 September 2019 (online)

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ABSTRACT

Liver abscess with biliary communication poses management problem if percutaneous drainage is performed. We report a case of large amoebic liver abscess (ALA) with jaundice. Prolonged high‑output bile drainage after percutaneous drainage of ALA showed suspicion of communication of abscess with intrahepatic bile ducts (biliary fistula). The same was managed successfully with endoscopic biliary stent placement with medical management.

Keywords

Amebic liver abscess - biliary fistula - biliary stent
 

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