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AIM:To assess the causes of ileocecal mass in patientswith amebic liver abscess.METHODS:Patients with amebic liver abscess andileocecal mass were carefully examined and investigatedby contrast-enhanced CT scan followed by colonoscopyand histological examination of biopsy materials fromlesions during colonoscopy.RESULTS:Ileocecal masses were found in seventeenpatients with amebic liver abscess.The cause of themass was ameboma in 14 patients,cecal tuberculosisin 2 patients and adenocarcinoma of the cecum in 1patient.Colonic ulcers were noted in five of the six(83%)patients with active diarrhea at presentation.Theileocecal mass in all these patients was ameboma.Ulcerswere seen in only one of the 11(9%)patients withoutdiarrhea.The difference was statistically significant fromthe group with diarrhea(P<0.005).CONCLUSION:Ileocecal mass is not an uncommonfinding in patients with amebic liver abscess.Although,the ileocecal mass is due to ameboma formation in mostcases,it should not be assumed that this is the case inall patients.Colonoscopy and histological examinationof the target biopsies are mandatory to avoid missing amore sinister lesion.
AIM: To assess the causes of ileocecal mass in patients with amebic liver abscess. METHODS: Patients with amebic liver abscess andileocecal mass were carefully examined and investigated by contrast-enhanced CT scan followed by colonoscopy and histological examination of biopsy materials fromlesions during colonoscopy .RESULTS: Ileocecal masses were found in seventeen patients with amebic liver abscess. The cause of the mass was ameboma in 14 patients, cecal tuberculosisin 2 patients and adenocarcinoma of the cecum in 1patient. Colonic ulcers were noted in five of the six (83%) patients with active diarrhea at presentation Theileocecal mass in all these patients was ameboma. Urlwere seen in only one of the 11 (9%) patients withoutdiarrhea. The difference was statistically significant from the group with diarrhea (P <0.005) .CONCLUSION: Ileocecal mass is not an uncommonfinding in patients with amebic liver abscess. Although, the ileocecal mass is due to ameboma formation in mostcases, it should not be assumed t hat this is the case inall patients. Colonoscopy and histological examination of the target biopsies are mandatory to avoid missing amore sinister lesion.