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AMEBIC ABSCESS OF THE LIVER UNSUSPECTED UNTIL PERFORATION

WALTMAN WALTERS, MC-V(S); CHARLES H. WATKINS, MC-V(S); HUGH R. BUTT, MC-V(S); JAMES M. MARSHALL, MC-V(S)
JAMA. 1944;125(14):963-966. doi:10.1001/jama.1944.02850320021007.
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The sudden perforation of unsuspected, asymptomatic amebic abscesses of the livers of 2 naval patients returning from the South Pacific combat zone has led us to speculate on the possibility that a similar type of condition may be encountered among other persons who are returning from these regions. Because of the considerable delay between the onset of symptoms and the recognition of the disease in the 1933 epidemic and the consequent loss of life, it seemed advisable to report these 2 recent cases.

The patients were enlisted personnel of the Navy who had been on duty on one of the islands in the South Pacific war zone. They were returned with diagnoses of filariasis which they had on admission to a naval hospital on the mainland.

In both cases a diagnosis of amebic abscess of the liver was made only after perforation of the abscess to the subdiaphragmatic region. In

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