Biliary Peritonitis due to a Ruptured Amebic Liver Abscess Mimicking a Periampullary Tumor and Liver Metastases with the Elevation of CA 19-9 and CA 125: A Case Report

• Main Authors: Javiera Marin-Leiva, Antoine Jeri-Yabar, Wendy Hernandez Fernandez, Edwin Damian Bello
• Format: Article
• Language: English
• Published: Karger Publishers 2018-06-01
• Series: GE: Portuguese Journal of Gastroenterology
• Subjects: Amebic liver abscess; CA 19-9; CA 125
• Online Access: https://www.karger.com/Article/FullText/489721

Introduction: An amebic liver abscess is the most common presentation of extraintestinal amebiasis. This condition is the result of a parasite infection caused by Entamoeba histolytica. Materials and Methods: We report a case of a 53-year-old male who presented with abdominal pain in the right upper quadrant, jaundice, and a 10-kg weight loss within a 1-month span. Results and Conclusion: A wide range of symptoms and findings in the imaging tests suggestive of neoplasia, elevated levels of CA 19-9 and CA 125, and the presentation of biliary peritonitis as a complication makes this case a challenge for its approach and management.