RETROPERITONEAL PERFORATION OF INTESTINAL AMOEBIASIS: A RARE CASE PRESENTATION

Abstract

Amoebiasis is caused by Entamoeba Histolytica and is still a major healthcare concern, especially in the Indian subcontinent where almost half the population is infected. The lack of sanitary control and hygiene measures make parasites infections still a burden for patients and physicians. Despite infections due to this parasites are usually mild, severe infections and fatal outcomes although rare still occur. Bowel Perforation is a rare complication of amoebiasis, and unfortunately, it continues to be almost fatal. We present a unique case of a 48 yr old man who presented to the emergency room with an acute abdomen. A 48-year-old man presented to Emergency room with complaints of pain in right lower abdomen and with abdominal distension, vomiting, fever and diarrhea. Ultrasonography suggestive of no free uid in abdomen and pelvis. Computed tomography suggestive of mottled air pockets with uid in retroperitoneal space. Patient underwent Extraperitoneal drainage of retroperitoneal collection with bilateral ank drain in extraperitoneal space. Bowel perforation due to Entamoeba histolytica was the nal diagnosis.