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Letter
Management of ruptured amoebic liver abscess: can we afford surgical drainage today?
  1. Ramesh Kumar1,
  2. Rajeev Nayan Priyadarshi2,
  3. Utpal Anand3
  1. 1 Gastroenterology, All India Institute of Medical Sciences, Patna, Bihar, India
  2. 2 Radiodiagnosis, All India Institute of Medical Sciences, Patna, Bihar, India
  3. 3 Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, Bihar, India
  1. Correspondence to Dr Ramesh Kumar, Gastroenterology, All India Institute of Medical Sciences, Patna 801505, India; docrameshkr{at}gmail.com

https://doi.org/10.1136/flgastro-2020-101612

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    We read with great interest the article by Trillos-Almanza and Restrepo Gutierrez1 that provides a comprehensive review on the management of liver abscess. In the algorithm for management of ruptured amoebic liver abscess (ALA), the authors have advocated an immediate surgical drainage unless the rupture is contained. Because ALA is highly endemic in many states of India, we have a considerable experience on managing such patients and we would like to share our view on this aspect.

    Surgical drainage used to be the choice of treatment modalities for ruptured ALA in the past. The first published report …

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    Footnotes

    • Contributors RK: concept, literature review and draft writing. RNP: literature review and draft writing. UA: concept and critically revised the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.