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Amoebic Abscess of the Liver
Abstract
Selective angiography of the coeliac axis usually with superior mesenteric arteriography and hepatic isotopic scanning, have proved helpful in the diagnosis and differential diagnosis of amoebic liver abscess. In 16 patients who have had selective angiograms, arteriography showed tumours in 13, failed in 1 and was doubtful in 2. Isotopic scanning demonstrated tumours in 10, failed in 3 and was doubtful in 3. The results obtained with these 2 methods were confirmed by clinical, haematological, surgical, laparoscopic, postmortem, and therapeutic data. After treatment the selective arteriography was repeated in 12 patients and isotopic scanning in 9. Both methods showed agreement in demonstrating the disappearance of the abscess in all patients except one. In this one the isotopic scanning image persisted, whereas arteriography no longer showed the existence of a tumour. Arteriography and scintigraphy are complementary techniques for the diagnosis of tumours of the liver, the former being particularly useful for the aetiological diagnosis of the lesion.
