All are true about amoebic liver abscess Except: (A) Metronidazole is mainstay of treatment, (B) Multifocal abscess can not be treated by aspiratio, (C) More common in left side, (D) More common in female
Answer is C. In 70% of cases it is a single large abscess, in 30% it is multiple, may involve both lobes. Problems and difficulties in treating, in addition to poor prognosis are more common in multiple abscesses. * An amoebic liver abscess is more common in right posterior-superior region (80%) because of streamline effect, i.e., the poal vein is in direct continuation with the right branch. It can be multiloculated also. ref: SRB&;S manual of surgery, ed 3, pg no 529