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Case Report
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| Amoebic liver abscess revealing a situs inversus totalis | ||||||
| Papa Abdoulaye Bâ1, Papa Amath Diagne2, Thomas Marcel Mbar Wade1, Babacar Mbengue3, Balla Diop4, Sekou Amadou Soumah5 | ||||||
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1Assistant Professor, General Surgery Unit of Regional Hospital, Faculty of Medicine, Thiès University, Thiès, Senegal.
2Assistant Professor, Department of Cardiovascular and Thoracic Surgery, Cheikh Anta Diop University, Dakar, Senegal. 3Assistant Professor, Department of General Surgery, Cheikh Anta Diop University, Dakar, Senegal. 4Assistant Professor, General Surgery Unit of Ouakam Military Hospital, Dakar, Faculty of Medicine, Thiès University, Thiès, Senegal. 5Assistant Professor, General Surgery Unit of San John of God Hospital, Thiès, Faculty of Medicine, Thiès University, Thiès, Senegal. | ||||||
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| How to cite this article |
| Bâ PA, Diagne PA, Wade TMM, Mbengue B, Diop B, Soumah SA. Amoebic liver abscess revealing a situs inversus totalis. Int J Case Rep Images 2016;7(12):823–826. |
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Abstract
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Introduction:
The situs inversus totalis is a rare congenital positional anomaly in which visceral organs are reversed in a mirror-image from their normal position.
Case Report: A 34-year-old male was admitted to the emergency department with a history of painful left upper quadrant with fever. Physical examination revealed a significant mass on the left upper quadrant. Abdominal computed tomography scan revealed a situs inversus totalis and two abscesses in the liver. We performed a bilateral drainage which brought, on both the sides, chocolate colored foul pus. The patient was on parenteral antibiotic therapy with metronidazole and amoxicillin-clavulanic acid. Bacteriological examination of the pus did not find any organisms. The outcome was favorable. Drains were removed seven days later. Conclusion: The diagnosis of amoebic abscess in situs inversus can be difficult. Clinical and radiologic examinations can confirm the diagnosis. | |
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Keywords:
Amoebic liver abscess, Dextrocardia, Senegal, Situs inversus totalis
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Author Contributions
Papa Abdoulaye Bâ – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Papa Amath Diagne – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Thomas Marcel Mbar Wade – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Babacar Mbengue – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Balla Diop – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Sekou Amadou Soumah – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Papa Abdoulaye Bâ et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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