GIANT AMEBIC LIVER ABSCESS MANAGED BY LAPAROSCOPIC DRAINAGE: A CASE REPORT ors.rzh@gmail.com

 

GIANT AMEBIC LIVER ABSCESS MANAGED BY LAPAROSCOPIC DRAINAGE: A CASE REPORT

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Mexico

Poster Exhibition only

Amebic liver abscess remains a prevalent cause of intraabdominal infection in endemic regions. Although fever and systemic inflammatory signs are typical, some patients present atypically, which may delay diagnosis. We report the case of a giant amebic liver abscess in a male patient, successfully treated with laparoscopic drainage.

A 53-year-old man with a history of diabetes mellitus presented with isolated right upper quadrant pain. No fever, chills, or systemic symptoms were reported. Laboratory studies showed nonspecific inflammatory findings without significant hepatic dysfunction. Imaging revealed a large hepatic collection with an estimated volume of 1.5 liters, consistent with a giant amebic abscess

Due to the significant size and risk of complications such as rupture, a laparoscopic drainage procedure was performed. Approximately 1.5 liters of purulent material were evacuated. A drain was placed, and the patient received targeted anti-amebic therapy. The minimally invasive approach provided excellent visualization, effective decompression, and reduced postoperative morbidity compared with open techniques. The man showed rapid postoperative improvement, early pain resolution, normalization of inflammatory markers, and progressive radiologic reduction of the abscess. Recovery was uneventful, achieving complete resolution.

Laparoscopic drainage is a safe and effective option for giant amebic liver abscesses, particularly in patients with atypical presentations. This case underscores the value of minimally invasive surgery in managing large intraabdominal infections.

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