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General Pathology  »   LIVER (XVIII)  »   Suppurative inflammation (iii)

AMOEBIC LIVER ABSCESSES

Museum No: XVIII:iii:18   

Year: 1983

 

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Clinical data:

The patient was a 46 year old black man who presented with a history of severe diarrhoea and weakness. On examination he was severely shocked and dehydrated, and succumbed shortly after admission to hospital.

Macroscopy:

His liver is obviously enlarged; its cut surface demonstrates the presence of several amoebic abscesses varying from 1 to 7cm in diameter. At autopsy, the abscesses were found to be filled with the reddish-brown anchovy sauce-like material typical of amoebic liver abscess. In addition, an extensive venous infarct is visible.

Comments:

Because of marked autolytic changes, Entamoeba histolytica trophozoites could not definitely be identified, but there is nevertheless little doubt that this is morphologically a classical example of amoebic hepatic disease.

See also corresponding colon specimen XVII:iii:24