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  • Title: Invasive amoebiasis: an unusual presentation.
    Author: Davidson BR, Neoptolemos JP, Watkin D, Talbot IC.
    Journal: Gut; 1988 May; 29(5):682-5. PubMed ID: 3396954.
    Abstract:
    A 63 year old Asian woman who presented with three week's abdominal pain was found to have a hard right iliac fossa mass and rectal ulceration. Profuse rectal bleeding necessitated a laparotomy. An inflammatory paracaecal mass with fistulae involving appendix, small bowel, and bladder was excised with exteriorisation of the bowel ends. Microscopy showed invasive amoebae. Re-anastomosis was successfully done after treatment with metronidazole and diloxanide. There are no previous reports of a paracaecal amoeboma with fistulae to either the appendix, or urinary bladder.
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