Gastrointestinal Fistulization in Amebic Liver Abscess.

BACKGROUND Liver abscess is a common deep seated abscess in children; amebic liver abscess is associated with more local complications. CASE CHARACTERISTICS We report two preschool children presenting with short history of pain, fever and right upper quadrant pain. The abscess communicated with gastro-intestinal tract (ascending colon in case 1 and duodenum in case 2), and diagnosis of amebic liver abscess was confirmed by DNA PCR. OUTCOME Both children were successfully managed with intravenous antibiotics and catheter drainage. MESSAGE Gastrointestinal fistulization may be rarely seen in amebic liver abscess. Conservative management with antibiotics, catheter drainage and supportive care may suffice.