RETROPERITONEAL PERFORATION OF INTESTINAL AMOEBIASIS: A RARE CASE PRESENTATION

Author:

Venkateswar P1,Kumar Pandey Vipin2,Suri Rohit3

Affiliation:

1. Professor in General Surgery, Osmania General Hospital, Hyderabad, T.S

2. Post Graduate Resident in General Surgery, Osmania General Hospital, Hyderabad, T.S..

3. Post Graduate Resident in General Surgery, Osmania General Hospital, Hyderabad, T.S.

Abstract

Amoebiasis is caused by Entamoeba Histolytica and is still a major healthcare concern, especially in the Indian subcontinent where almost half the population is infected. The lack of sanitary control and hygiene measures make parasites infections still a burden for patients and physicians. Despite infections due to this parasites are usually mild, severe infections and fatal outcomes although rare still occur. Bowel Perforation is a rare complication of amoebiasis, and unfortunately, it continues to be almost fatal. We present a unique case of a 48 yr old man who presented to the emergency room with an acute abdomen. A 48-year-old man presented to Emergency room with complaints of pain in right lower abdomen and with abdominal distension, vomiting, fever and diarrhea. Ultrasonography suggestive of no free uid in abdomen and pelvis. Computed tomography suggestive of mottled air pockets with uid in retroperitoneal space. Patient underwent Extraperitoneal drainage of retroperitoneal collection with bilateral ank drain in extraperitoneal space. Bowel perforation due to Entamoeba histolytica was the nal diagnosis.

Publisher

World Wide Journals

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