Amebic dysentery Complications

Intestinal complications of Amebic dysentery:

1. Intestinal perforation: Acute intestinal perforation occurred in patients with severe enteropathy of the amoeba, the Department of intestinal amoebiasis most serious life-threatening complications, perforation of bowel disease can make the contents into the abdominal cavity mesocaval lead limitations or diffuse peritonitis, perforation of the site was particularly prevalent in the cecum, appendix and ascending colon. Chronic perforation of the formation of intestinal adhesion first, and then often penetrated through the formation of local abscess or fistula formation near the organ.

2. Intestinal bleeding: the incidence of less than 1%, generally occurred in patients with amoebic dysentery or granuloma, due to ulcers caused by vascular invasion of the intestinal wall. Because the result of massive bleeding in the submucosa of ulcers, the invasion of great vessels, or damage caused by granuloma. Although a large number of unusual bleeding, but if that were to happen in critical condition, a result of shock due to hemorrhage. More than a small amount of bleeding ulcers as a result of bleeding caused by superficial.

3. Appendicitis: amoebic enteropathy due to a good position in the cecum, the more opportunities for involving the appendix, colon amoebiasis autopsy found 6.2% ~ 40.9% have appendicitis, internal report, involving only 0.9% of appendectomy. Its symptoms similar to appendicitis and bacterial, have acute and chronic, such as performance, but if history of amoebic dysentery and obviously right lower quadrant tenderness, and consideration should be given to this disease.

4. Amebic tumor: a large amount of granulation tissue wall to form a mass reach. Occur in the caecum, but also in the transverse colon, rectum and anus, often accompanied by pain, very like cancer, colorectal cancer is not easy with distinction. Increases tumor can cause intestinal obstruction.

5. Enteric cavity stenosis: chronic patients, gastro-intestinal ulcer repair of fibrous tissue can form a scar and narrow, and the emergence of abdominal cramps, vomiting, abdominal distension and obstructive symptoms.

6. Amoebiasis around the anus: the disease is less often misdiagnosed clinically. When skin lesions or anal fissure, anal crypt inflammation and lesions go far when you can direct invasive Entamoeba trophozoites skin around the anus caused by amoebiasis, sometimes disease can be linked to the method of secondary treatment of hemorrhoids fistula after amebic trophozoites dual infection through anal blood around the body like the size of brown appear miliary rash, the rash uplift flat, the edge of confusion, and finally the formation of ulcers or abscesses, rupture and discharge pus discharge. Easily be mistaken for anorectal cancer, basal cell carcinoma or skin tuberculosis.

Parenteral complications of Amebic dysentery:

Amebic trophozoites from the intestinal tract by the blood flow to the lymphatic spread of a distant organ complications arising from a variety of parenteral, amebic liver abscess is the most see, followed by such as the lung, pleura, pericardium, brain, peritoneum, stomach, gallbladder, skin, urinary system, female reproductive system can be invaded.