A rare presentation of ruptured amoebic liver abscess with caecal perforation - a case series

A rare complication of simultaneous rupture liver abscess with caecal perforation occurs mainly in malnourished patients and carries a high mortality rate. In invasive amoebiasis, the trophozoites penetrate intestinal mucosal layer causing amoebic colitis which is carried along portal circulation to produce that more prone cases immunocompromised status. Here we report 4 ruptured associated gangrene were operated at our institute. All male who chronic alcoholics presented caecum was identified on exploratory laparotomy. The different approaches surgical management these discussed, wherein early identification timely intervention remain as mainstay treatment all cases.