Amoebic liver abscess is an endemic in developing countries but few cases of associated vascular complications have been reported. The authors report a very rare vascular complication of hepatic veins and inferior vena caval (IVC) thrombosis extending into the right atrium in a young male with large amoebic liver abscess. Optimal result was achieved with early diagnosis on CT scan, percutaneous drainage of abscess, intravenous metronidazole, peri-operative anticoagulation, sternotomy and thrombectomy.
Journal of the College of Physicians and Surgeons Pakistan
(2010). Hepatic vein and inferior vena caval thrombus extending into the right atrium: a rare complication of amoebic liver abscess. Journal of the College of Physicians and Surgeons Pakistan, 20(1), 57-9.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_gen/6