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학술저널
저자정보
Ajay Kumar Jain (Department of Gastroenterology Choithram Hospital & Research Centre Indore India) Suchita Jain (Department of Radio-diagnosis & Imaging Choithram Hospital & Research Centre Indore India) Sandeep Kaulavkar (Department of Gastroenterology Choithram Hospital & Research Centre Indore India) Ashmeet Choudhary (Department of Gatroenterology Rajshree Apollo Hospital Indore India)
저널정보
소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제10권 제1호
발행연도
2021.1
수록면
28 - 31 (4page)

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Amoebic liver abscess with jaundice is not uncommon, but jaundice with intractable pruritus due to it is extremely uncommon. We present a case of amoebic liver abscess who had mild icterus at presentation and improved within seven days of conservative management with the decrease in abscess size. One month later, he presented with severe pruritus and deep jaundice. On evaluation, no other cause could be identified to explain his jaundice and severe pruritus other than a residual abscess. Therefore abscess was drained but neither his jaundice nor pruritus responded to the aspiration of abscess. After one week he underwent endoscopic retrograde cholangiopancreatography (ERCP) and biliary stenting despite he not having any intra or extra-hepatic biliary dilatation. Following biliary drainage, his pruritus improved completely, and bilirubin became normal over the next few days. In conclusion, bilio-vascular fistulas, when present can lead to severe pruritus and, biliary drainage is an effective treatment for it.

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