Image of the month
Amoebic liver abscess
Absceso hepático amebiano
Rubén Sánchez-Aldehuelo
, Irene García de la Filia Molina, Rosa Maria Martin-Mateos
Corresponding author
Gastroenterology and Hepatology Unit, Hospital Ramon y Cajal, Madrid , Spain
Read
1023
Timeswas read the article
237
Total PDF
786
Total HTML
Share statistics
array:24 [ "pii" => "S2444382419300574" "issn" => "24443824" "doi" => "10.1016/j.gastre.2019.02.027" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1357" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2019;42:185" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S0210570518303194" "issn" => "02105705" "doi" => "10.1016/j.gastrohep.2018.11.002" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1357" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2019;42:185" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 75 "formatos" => array:2 [ "HTML" => 45 "PDF" => 30 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Amoebic liver abscess" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "185" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Absceso hepático amebiano" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 588 "Ancho" => 754 "Tamanyo" => 43386 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial CT-scan showing a rounded, well-defined mass located in liver (arrow). It is possible to identify a central cavity filled with low-density fluid with internal septations. A peripheral enhancing rim corresponding to the abscess wall as well as a peripheral zone of surrounding oedema are seen. Amebic abscess are typically subcapsular single lesions located in the right liver lobe, although in this case is seen in the left lobe.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rubén Sánchez-Aldehuelo, Irene García de la Filia Molina, Rosa Maria Martin-Mateos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Rubén" "apellidos" => "Sánchez-Aldehuelo" ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "García de la Filia Molina" ] 2 => array:2 [ "nombre" => "Rosa Maria" "apellidos" => "Martin-Mateos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2444382419300574" "doi" => "10.1016/j.gastre.2019.02.027" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382419300574?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570518303194?idApp=UINPBA00004N" "url" => "/02105705/0000004200000003/v1_201903020621/S0210570518303194/v1_201903020621/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2444382419300562" "issn" => "24443824" "doi" => "10.1016/j.gastre.2019.02.026" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1354" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2019;42:186-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Major duodenal diverticular bleeding" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "186" "paginaFinal" => "187" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemorragia de divertículo duodenal" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 915 "Ancho" => 1210 "Tamanyo" => 163361 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) UE revealing blood in the giant DD; (B) during observation, an arterial spurting of the DD was seen; (C) the bleeding was controlled with epinephrine and 3 hemoclips; (D) a second look endoscopy was performed without evidence of rebleeding.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Joana Rita Carvalho, Inês Nogueira Fonseca, Carlos Freitas, Paula Moura Santos, Luís Carrilho Ribeiro, Rui Tato Marinho" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Joana Rita" "apellidos" => "Carvalho" ] 1 => array:2 [ "nombre" => "Inês Nogueira" "apellidos" => "Fonseca" ] 2 => array:2 [ "nombre" => "Carlos" "apellidos" => "Freitas" ] 3 => array:2 [ "nombre" => "Paula Moura" "apellidos" => "Santos" ] 4 => array:2 [ "nombre" => "Luís Carrilho" "apellidos" => "Ribeiro" ] 5 => array:2 [ "nombre" => "Rui Tato" "apellidos" => "Marinho" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210570518303169" "doi" => "10.1016/j.gastrohep.2018.10.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570518303169?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382419300562?idApp=UINPBA00004N" "url" => "/24443824/0000004200000003/v1_201903150620/S2444382419300562/v1_201903150620/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2444382419300458" "issn" => "24443824" "doi" => "10.1016/j.gastre.2019.02.016" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1269" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Gastroenterol Hepatol. 2019;42:183-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific letter</span>" "titulo" => "Acute myocardial infarction in a patient with a recent diagnosis of Crohn's disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "183" "paginaFinal" => "184" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infarto agudo de miocardio en paciente con diagnóstico reciente de enfermedad de Crohn" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 514 "Ancho" => 1300 "Tamanyo" => 54427 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Findings in vascular CT of the aorta consistent with infarcts in the right kidney and an infarct in the inferior pole of the spleen. (a) In arterial phase, (b) in venous phase.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Belén Navarro, Teresa Blázquez, Julia Herreras, Marisa Iborra" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Belén" "apellidos" => "Navarro" ] 1 => array:2 [ "nombre" => "Teresa" "apellidos" => "Blázquez" ] 2 => array:2 [ "nombre" => "Julia" "apellidos" => "Herreras" ] 3 => array:2 [ "nombre" => "Marisa" "apellidos" => "Iborra" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210570518301353" "doi" => "10.1016/j.gastrohep.2018.05.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570518301353?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382419300458?idApp=UINPBA00004N" "url" => "/24443824/0000004200000003/v1_201903150620/S2444382419300458/v1_201903150620/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Amoebic liver abscess" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "185" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Rubén Sánchez-Aldehuelo, Irene García de la Filia Molina, Rosa Maria Martin-Mateos" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Rubén" "apellidos" => "Sánchez-Aldehuelo" "email" => array:1 [ 0 => "ruben.sanchez.aldehuelo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "García de la Filia Molina" ] 2 => array:2 [ "nombre" => "Rosa Maria" "apellidos" => "Martin-Mateos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Gastroenterology and Hepatology Unit, Hospital Ramon y Cajal, Madrid , Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Absceso hepático amebiano" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 588 "Ancho" => 754 "Tamanyo" => 43386 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial CT-scan showing a rounded, well-defined mass located in liver (arrow). It is possible to identify a central cavity filled with low-density fluid with internal septations. A peripheral enhancing rim corresponding to the abscess wall as well as a peripheral zone of surrounding oedema are seen. Amebic abscess are typically subcapsular single lesions located in the right liver lobe, although in this case is seen in the left lobe.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 32-year-old woman from Venezuela presented to the Emergency department with epigastric pain, chills and fever during the last week. She reported no nausea, vomiting, jaundice or diarrhea. Physical examination revealed epigastric tenderness with no rebound. Blood tests showed AST 144<span class="elsevierStyleHsp" style=""></span>U per liter (U/L) (reference range – RR-4–50), ALT 133<span class="elsevierStyleHsp" style=""></span>U/L (RR 5–40), GGT 237<span class="elsevierStyleHsp" style=""></span>U/L (RR 7–30), ALP 576 U/L (RR 42–141) and CRP 188<span class="elsevierStyleHsp" style=""></span>mg per milliliter (RR<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>5) so an abdominal ultrasound was performed. It revealed a heterogeneous hepatic nodular lesion in the left liver lobe measuring 75<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>40<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>55<span class="elsevierStyleHsp" style=""></span>mm. It was round and predominantly hypoechoic suggesting either a liver abscess or, less likely, a liver neoplasm. A CT scan was performed for better characterization, showing a low-density mass with a peripheral enhancing rim (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Blood and stool cultures were collected and empirical antibiotherapy to treat a liver abscess was started. Stool microscopy exam was negative but Entamoeba hystolitica IgG-ELISA was positive confirming an amebic liver abscess so a 10-day treatment with Metronidazole was completed. The patient did well and was discharged with Paromomycin for 1 more week to complete intestinal amebiasis treatment. The patient has been asymptomatic 8 months after discharge.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 588 "Ancho" => 754 "Tamanyo" => 43386 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial CT-scan showing a rounded, well-defined mass located in liver (arrow). It is possible to identify a central cavity filled with low-density fluid with internal septations. A peripheral enhancing rim corresponding to the abscess wall as well as a peripheral zone of surrounding oedema are seen. Amebic abscess are typically subcapsular single lesions located in the right liver lobe, although in this case is seen in the left lobe.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004200000003/v1_201903150620/S2444382419300574/v1_201903150620/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004200000003/v1_201903150620/S2444382419300574/v1_201903150620/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382419300574?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 10 | 2 | 12 |
| 2024 September | 21 | 8 | 29 |
| 2024 August | 15 | 2 | 17 |
| 2024 July | 13 | 5 | 18 |
| 2024 June | 11 | 1 | 12 |
| 2024 May | 11 | 7 | 18 |
| 2024 April | 19 | 4 | 23 |
| 2024 March | 10 | 5 | 15 |
| 2024 February | 19 | 2 | 21 |
| 2024 January | 18 | 0 | 18 |
| 2023 December | 22 | 2 | 24 |
| 2023 November | 14 | 6 | 20 |
| 2023 October | 14 | 2 | 16 |
| 2023 September | 17 | 0 | 17 |
| 2023 August | 23 | 3 | 26 |
| 2023 July | 16 | 1 | 17 |
| 2023 June | 24 | 0 | 24 |
| 2023 May | 38 | 3 | 41 |
| 2023 April | 26 | 1 | 27 |
| 2023 March | 20 | 1 | 21 |
| 2023 February | 18 | 1 | 19 |
| 2023 January | 15 | 4 | 19 |
| 2022 December | 23 | 11 | 34 |
| 2022 November | 34 | 7 | 41 |
| 2022 October | 19 | 10 | 29 |
| 2022 September | 14 | 9 | 23 |
| 2022 August | 19 | 9 | 28 |
| 2022 July | 20 | 9 | 29 |
| 2022 June | 19 | 11 | 30 |
| 2022 May | 15 | 13 | 28 |
| 2022 April | 21 | 15 | 36 |
| 2022 March | 17 | 5 | 22 |
| 2022 February | 13 | 6 | 19 |
| 2022 January | 22 | 10 | 32 |
| 2021 December | 15 | 8 | 23 |
| 2021 November | 8 | 14 | 22 |
| 2021 October | 13 | 7 | 20 |
| 2021 September | 13 | 7 | 20 |
| 2021 August | 9 | 2 | 11 |
| 2021 July | 8 | 3 | 11 |
| 2021 June | 18 | 3 | 21 |
| 2021 May | 29 | 7 | 36 |
| 2021 April | 28 | 6 | 34 |
| 2021 March | 11 | 4 | 15 |
Show all
