Ultrasonographic Resolution Time for Amebic Liver Abscess

Laila Ahmed Kasr El Aini Hospital, Cairo University Faculty of Medicine, U.S. Naval Medical Research Unit No. 3, University of Maryland School of Medicine, Cairo, Egypt

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Zakaria A. Salama Kasr El Aini Hospital, Cairo University Faculty of Medicine, U.S. Naval Medical Research Unit No. 3, University of Maryland School of Medicine, Cairo, Egypt

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Abushady El Rooby Kasr El Aini Hospital, Cairo University Faculty of Medicine, U.S. Naval Medical Research Unit No. 3, University of Maryland School of Medicine, Cairo, Egypt

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G. Thomas Strickland Kasr El Aini Hospital, Cairo University Faculty of Medicine, U.S. Naval Medical Research Unit No. 3, University of Maryland School of Medicine, Cairo, Egypt

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Hepatic ultrasonography not only can be used to detect amebic liver abscess, but can follow its resolution. Twenty-five patients with 32 abscesses had hepatic sonography performed repeatedly. Sonography clearly demonstrated abscesses of 1–22 cm; 19 patients (76%) had abscesses only in the right lobe of the liver, and 22 (88%) had solitary abscesses. Resolution time ranged from 2 months for the smallest abscess to 20 months for the largest. Four abscesses initially had a heterogenous partially solidified pattern. All abscesses healed completely, leaving normal hepatic sonographic patterns.

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