J Korean Geriatr Soc.  2013 Dec;17(4):253-258. 10.4235/jkgs.2013.17.4.253.

Amebic Liver Abscess Complicated With Inferior Vena Cava Obstruction

• Cho JK
• Kim MS
• Shin JH
• Jeong YS
• Lim GJ
• Kang NR
• Choi JP
• Park CH
• Kim MY

• KMID: 2188242
• DOI: http://doi.org/10.4235/jkgs.2013.17.4.253

Abstract

Amebic liver abscess (ALA) has been diagnosed in travelers to endemic areas or in patients with immunosuppression secondary to human immunodeficiency virus infection since the late 1990s. Further, it is a rare disease in Korea. ALA should be considered in patients present with fever and right upper quadrant pain along with a risk of exposure to amebiasis. We report an 82-year-old man with symptoms of fever, gross hematuria and severe renal impairment as having amebic liver abscess complicated with the obstruction of the inferior vena cava. Amebic liver abscess was successfully treated with antibiotics alone. Also, hematuria disappeared and renal dysfunction improved after treatment.

Keyword

Amebic liver abscess; Inferior vena cava; Hematuria; Renal insufficiency

MeSH Terms

Aged, 80 and over
Amebiasis
Anti-Bacterial Agents
Fever
Hematuria
HIV
Humans
Immunosuppression
Korea
Liver Abscess, Amebic*
Rare Diseases
Renal Insufficiency
Vena Cava, Inferior*
Anti-Bacterial Agents