Gautam Jesrani, Jaspreet Kaur, Samiksha Gupta, Yuvraj Singh Cheema, Prashant Ahlawat

Department of General Medicine, Government Medical College and Hospital, Chandigarh, India

Keywords: Amoebic liver abscess, mediastinum, pigtail drainage, pleural effusion, ventilator-associated pneumonia


Amoebic liver abscess is one frequently encountered intra-abdominal infection, caused by Entamoeba histolytica and has various abdominal and thoracic life threatening complications. Herein, describe a case of a 30-year-old female, who suffered from multiple amoebic liver abscesses and presented with massive right sided pleural effusion. She was managed with recommended antibiotics and pigtail catheter for liver abscess and an intercostal drainage tube for massive pleural effusion. However, postintercostal drainage, her chest X-ray demonstrated a right mediastinal shadow, which was confirmed as an intrathoracic extension of the hepatic liver abscess on computed tomography. An ultrasound guided pigtail catheter was manipulated and placed at the site of thoracic communication. This led to clinical and radiological improvement, but unfortunately, she developed ventilator-acquired pneumonia and died due to her illness. The case represents an uncommon complication of amoebic liver abscess, which is rarely described and adds more knowledge on the thoracic complexities of this infectious disease.

How to cite this article: Jesrani G, Kaur J, Gupta S, Cheema YS, Ahlawat P. Mediastinal extension of amoebic liver abscess: A case report on the rare thoracic complication of Entamoeba histolytica. Turk J Emerg Med 2023;23:250-3.

Ethics Committee Approval

Proper written consent is present, which was obtained from the patient’s husband for the use of the data related to this case.

Author Contributions

GJ, JK, and SG: Case presentation, management, data collection, investigations, and writing of the original draft.
YSC and PA: Writing of the original draft including discussion, literature review, conclusion, references, and formatting.

Conflict of Interest

None declared.

Financial Disclosure

None declared.