Gastrointestinal Fistulization in Amebic Liver Abscess.

BACKGROUND: Liver abscess is a common deep seated abscess in children; amebic liver abscess is associated with more local complications.

CASE CHARACTERISTICS: We report two preschool children presenting with short history of pain, fever and right upper quadrant pain. The abscess communicated with gastro-intestinal tract (ascending colon in case 1 and duodenum in case 2), and diagnosis of amebic liver abscess was confirmed by DNA PCR.

OUTCOME: Both children were successfully managed with intravenous antibiotics and catheter drainage.

MESSAGE: Gastrointestinal fistulization may be rarely seen in amebic liver abscess. Conservative management with antibiotics, catheter drainage and supportive care may suffice.