• Mohammad Idrees
  • Mohammad Ilyas


Amoebic liver abscess is common in Pakistan whereas pyogenic abscess is more prevalent in the west. Timely diagnosis of the liver abscess significantly lowers the morbidity and mortality. Present study involves ultrasound examination of 200 consecutive patients in a five-year period (September 1990 - August 1995) at civil teaching hospital, Abbottabad and private clinics. One hundred and ninety-six patients (98%) had amoebic liver abscess. In a similar number of cases the abscess was solitary. Abscess was located in right hepatic lobe in 184 (92%). Majority of patients (76%) were males while 24% were females. Age of our patients was between 10-60 years and size of the lesion varied between 3-16 cm. Ultrasound has proved to be excellent imaging modality in the diagnosis liver abscess. In selected cases abscess can be aspirated or drained under ultrasound guidance.


Davies RH, Cywes S. Amoebic liver abscess in infancy

and childhood. South Afr J Surg 1978; 161: 131-38.

Cuba D. Sonographic evaluation of amoebic hepatitis. J

Assoc Phys India 1994 April 42(4): 346.

Brook MM. Epidemiology of amoebiasis in United

States. JAMA 1984; 188: 519-21.

Northover JM, Jones BJ, Dawson JL, William R.

Difficulty in diagnosis and management of pyogenic

liver abscess. BJS 1982; 69: 48-51.

Elachi EN. Experience with percutaneous aspiration of

amoebic liver abscess; BJS 1988; 75: 852.

Sinjee AC, Patel A, Gathioram Vetal. Serial ultrasound

in amoebic liver abscess. Clin Radiol 1985; 38: 61-68.

Shaikh Z, Khan MH, Qamar R. Clinical profile

of 100 cases of liver abscess. JAMA, 1989; pp. 225-26.

Khan MS. Liver scintigraphy in amoebic liver abscess.

PJR-1986;1: 46-49.

Oleszezuk R. Ultrasonic features of pyogenic and

amoebic hepatic abscess. Peia Radiol 1989; 19(4):


Falaiye JM, Okeke GC, Fregene AO. Amoebic liver

abscess in cirrhotic liver. Gut 1980; 21: 161.

Dewbury KC, Joseph AEA, Milward GH. Ultrasound

in the diagnosis of early liver abscess; BJR 1980; 53:


Vonsonenberg E, Muller-PR, Schiffman R. Intrahepatic

amoebic liver abscesses: Radiology 1985; 156: 631-35.

Sharma MP, Raj PR, Acharya SK, Tandon BN. Needle

aspiration of amoebic liver abscess; BMJ 1989; 294:


Gerzof SG, Jonnson WC, Robins AH, Nabseth DC.

Expanded criteria for percutaneous abscess drainage;

Arch Surg 1985; 820L 227-232.

Abdelouafi M. Ultrasonography in diagnosis of liver

abscess. Apropos 32 cases. Ann Radiol


Ramani A. Ultrasound guided needle aspiration of

amoebic liver abscess. Postgraduate Med J 1993 May

(81): 381-83.

Most read articles by the same author(s)