Journal of Gastrointestinal Infections

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VOLUME 10 , ISSUE 1 ( January-December, 2020 ) > List of Articles


Spontaneous Hepatogastric Fistula: A Rare Complication of Amebic Liver Abscess

Ajay K Jain, Amit D Joshi, Suchita Jain, Shohini Sircar

Keywords : Amebic liver abscess, Hematochezia, Hepatogastric fistula, Upper gastrointestinal endoscopy

Citation Information : Jain AK, Joshi AD, Jain S, Sircar S. Spontaneous Hepatogastric Fistula: A Rare Complication of Amebic Liver Abscess. J Gastrointest Infect 2020; 10 (1):31-32.

DOI: 10.5005/jp-journals-10068-3038

License: CC BY-NC 4.0

Published Online: 29-12-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


An amebic liver abscess (ALA) is a common extraintestinal manifestation of invasive amebiasis. Rupture into the thoracic or peritoneal cavity is a common complication of liver abscess especially, from left lobe abscess. Rupture into the stomach leading to hepatogastric fistula is an extremely rare complication more so spontaneous rupture after a decrease in size of the abscess on treatment. We report a patient with ALA who developed spontaneous hepatogastric fistula on day nine of treatment and was managed successfully with conservative management with the healing of fistula and resolution of the abscess.

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