Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 25, 2015; 7(9): 916-919
Published online Jul 25, 2015. doi: 10.4253/wjge.v7.i9.916
Unusual complication of amebic liver abscess: Hepatogastric fistula
Sunil V Pawar, Vinay G Zanwar, Pravir A Gambhire, Ashok R Mohite, Ajay S Choksey, Pravin M Rathi, Dileep S Asgaonkar
Sunil V Pawar, Vinay G Zanwar, Pravir A Gambhire, Ashok R Mohite, Ajay S Choksey, Pravin M Rathi, Department of Gastroenterology, 7th floor OPD building, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai Central, Mumbai 400008, Maharashtra, India
Dileep S Asgaonkar, Department of Medicine, 1st floor College building, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Mumbai Central, Mumbai 400008, Maharashtra, India
Author contributions: Pawar SV, Zanwar VG, Gambhire PA made substantial contributions to conception and design of the study, acquisition, analysis, drafting of article; Mohite AR, Choksey AS made critical revisions related to important intellectual content of the manuscript; final approval of the version of the article to be published was done by Rathi PM and Asgaonkar DS.
Informed consent statement: The study participant provided informed written consent.
Conflict-of-interest statement: There are no conflicts of interest of any authors.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Sunil V Pawar, DM, Department of Gastroenterology, 7th floor OPD building, Topiwala National Medical College and Bai Yamunabai Laxman Nair Hospital, Dr. Anandrao Nair Road, Mumbai Central, Mumbai 400008, Maharashtra, India. svpnavodaya@gmail.com
Telephone: +91-22-23027206 Fax: +91-22-23021168
Received: November 21, 2014
Peer-review started: November 22, 2014
First decision: December 12, 2014
Revised: May 8, 2015
Accepted: May 27, 2015
Article in press: May 28, 2015
Published online: July 25, 2015
Processing time: 255 Days and 13 Hours
Core Tip

Core tip: Hepatogastric fistula is a rare complication of the amebic liver abscess. High index of suspicion is required for its diagnosis. The presenting complaints may be brownish black vomitus or stool. It can be managed conservatively, endoscopically or surgically depending on case. Hence in cases of amebic liver abscess developing brownish black stools or vomiting we should always rule out hepatogastric fistula formation especially when it is associated with improvement of symptoms.