COMPLICATED AMOEBIC LIVER ABSCESS WITH HEPATIC VEIN AND IVC EXTENSION

Amoebic liver abscess is common disease in developing country and is the most common extraintestinal manifestation of Entamoeba histolytica infection. Usual complication of ALA is leakage of the abscess into the pleural cavity, with formation of empyema thoracis. Intra-abdominal extension following perforation into the peritoneal cavity and rarely life threatening vascular complications such venous extension of the disease into hepatic veins and IVC can occur , with only few cases reported. We describe a case of amebic liver abscess extending across middle hepatic vein (MHV) into IVC.