Gigantic amoebic liver abscess in pregnancy: a case report
Amoebic liver abscess in pregnancy is genuinely rare in its presentation. Yet, the main issue surrounding this agenda is the diagnostic challenge that it poses especially when symptomatology is vague and clues are subtle which altogether evades the diagnosis proper. We would like to dwell mainly on...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Published: |
2015
|
| Subjects: |
| _version_ | 1825720802434088960 |
|---|---|
| author | Chiam, K.H. Lim, Y.A.L. Mahmud, R. Ngui, R. Low, L.L. |
| author_facet | Chiam, K.H. Lim, Y.A.L. Mahmud, R. Ngui, R. Low, L.L. |
| author_sort | Chiam, K.H. |
| collection | UM |
| description | Amoebic liver abscess in pregnancy is genuinely rare in its presentation. Yet, the main issue surrounding this agenda is the diagnostic challenge that it poses especially when symptomatology is vague and clues are subtle which altogether evades the diagnosis proper. We would like to dwell mainly on these issues in hopes of enlightening clinicians towards these diagnostic dilemmas. We report an extremely rare case of amoebic liver abscess occurring in the third trimester of pregnancy in a 29-year-old lady living in an interior village in Sabah. It was a combination of biochemical, radiographic and molecular investigations that ultimately led to the final diagnosis. In lieu of the high risk of mortality amongst pregnant mothers afflicted with amoebic liver abscess, the inherent need for early diagnosis requiring a high index of suspicion is vital. Elevated alkaline phosphatase alongside neutrophilia appears to be the most consistent liver parameters in guiding clinicians towards the presence of liver abscess. |
| first_indexed | 2024-03-06T05:40:42Z |
| format | Article |
| id | um.eprints-16278 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:40:42Z |
| publishDate | 2015 |
| record_format | dspace |
| spelling | um.eprints-162782016-08-22T03:27:43Z http://eprints.um.edu.my/16278/ Gigantic amoebic liver abscess in pregnancy: a case report Chiam, K.H. Lim, Y.A.L. Mahmud, R. Ngui, R. Low, L.L. R Medicine Amoebic liver abscess in pregnancy is genuinely rare in its presentation. Yet, the main issue surrounding this agenda is the diagnostic challenge that it poses especially when symptomatology is vague and clues are subtle which altogether evades the diagnosis proper. We would like to dwell mainly on these issues in hopes of enlightening clinicians towards these diagnostic dilemmas. We report an extremely rare case of amoebic liver abscess occurring in the third trimester of pregnancy in a 29-year-old lady living in an interior village in Sabah. It was a combination of biochemical, radiographic and molecular investigations that ultimately led to the final diagnosis. In lieu of the high risk of mortality amongst pregnant mothers afflicted with amoebic liver abscess, the inherent need for early diagnosis requiring a high index of suspicion is vital. Elevated alkaline phosphatase alongside neutrophilia appears to be the most consistent liver parameters in guiding clinicians towards the presence of liver abscess. 2015 Article PeerReviewed Chiam, K.H. and Lim, Y.A.L. and Mahmud, R. and Ngui, R. and Low, L.L. (2015) Gigantic amoebic liver abscess in pregnancy: a case report. Tropical Biomedicine, 32 (4). pp. 699-703. ISSN 0127-5720, |
| spellingShingle | R Medicine Chiam, K.H. Lim, Y.A.L. Mahmud, R. Ngui, R. Low, L.L. Gigantic amoebic liver abscess in pregnancy: a case report |
| title | Gigantic amoebic liver abscess in pregnancy: a case report |
| title_full | Gigantic amoebic liver abscess in pregnancy: a case report |
| title_fullStr | Gigantic amoebic liver abscess in pregnancy: a case report |
| title_full_unstemmed | Gigantic amoebic liver abscess in pregnancy: a case report |
| title_short | Gigantic amoebic liver abscess in pregnancy: a case report |
| title_sort | gigantic amoebic liver abscess in pregnancy a case report |
| topic | R Medicine |
| work_keys_str_mv | AT chiamkh giganticamoebicliverabscessinpregnancyacasereport AT limyal giganticamoebicliverabscessinpregnancyacasereport AT mahmudr giganticamoebicliverabscessinpregnancyacasereport AT nguir giganticamoebicliverabscessinpregnancyacasereport AT lowll giganticamoebicliverabscessinpregnancyacasereport |