Treatment of Amebic Liver Abscess with Rupture into a Hollow Viscus

Clinical Scenario

This protocol covers complicated amebic liver abscess in which the abscess has ruptured into a hollow viscus — stomach, bronchus, or intestine — forming a hepatic fistula that provides spontaneous, natural drainage of abscess contents.

Treatment Approach

Because the fistula itself provides natural drainage, this presentation can be managed with medical therapy alone — invasive drainage procedures are not required. The complete structured regimen, including the specific agents and the sequential steps involved, is available below.

Treatment Goals

• Resolution of fever and right upper quadrant abdominal pain within 72 hours of initiating treatment.