Table 2 Pathological findings, treatment, and follow-up for 14 patients diagnosed with granulomatous and eosinophilic gastrointestinal and hepatic abscesses in Sulaimaniyah, Iraq, 2009–2012
Patient | Surgical procedure | Pathologic findings and location of disease | Size of abscesses | Organism in tissue | Medical treatment | Complications | Follow-up duration |
|---|---|---|---|---|---|---|---|
1. | Right hemicolectomy Segmental hepatectomy | Cecal, ascending colon, and localized liver masses | 8-12 cm | Pauci-septate hyphae | Oral itraconozol, 6 mos. | Recurrent obstruction after 5 mos. | Asymptomatic,24 mos. |
2. | Biopsy of mass | Pelvic mass, intestinal site uncertain | 9 cm | Pauci-septate hyphae | IV amphotercin B, 2 d. | Died | Â |
3. | Right hemicolectomy | Cecal mass | 6 cm | Pauci-septate hyphae | Oral itraconozol, 6 mos | None | Asymptomatic, 26 mos. |
4. | Right hemi and transverse colectomy | Cecal and transverse colon masses | 17 cm | Pauci-septate hyphae | Oral itraconozol, 6 mos. | Recurrent obstruction after 3 mos. | Asymptomatic, 10 mos. |
5. | Transverse colectomy | Oropharyngeal and transverse colon masses | 20x9 cm | Pauci-septate hyphae | Itraconozol: IV14 d, Oral 7 mos | None | Asymptomatic, 7 mos. |
6. | Right hemicolectomy | Cecal mass | 4 cm | Pauci-septate hyphae | Oral itraconozol, 4 mos. | None | Asymptomatic, 4 mos. |
7. | Segmental hepatectomy | Liver mass, localized | 4x6 cm | No | Albendazole 400mg/d, 3 d | None | Asymptomatic, 41 mos. |
8. | Cholecystectomy, wedge liver biopsy | Liver, diffuse abscesses | 0.5-2 cm | No | Albendazole 400 mg/d, 3 d | None | Asymptomatic, 30 mos. |
9. | Cholecytectomy, wedge liver biopsy | Liver, diffuse abscesses | 0.5-2 cm | No | Albendazole 400 mg/d, 3 d | Common duct fluke after 2 yrs | Asymptomatic, 30 mos. |
10. | Segmental hepatectomy | Liver mass, localized | 3 cm | No | Albendazole 400 mg/d, 3 d | None | Asymptomatic, 28 mos. |
11. | Segmental hepatectomy | Liver mass, localized | 5 cm | No | Albendazole 400 mg/d, 3 d | None | Asymptomatic, 13 mos. |
12. | Cholecytectomy, wedge liver biopsy | Liver, diffuse abscesses | 0.5-2 cm | No | Albendazole 400 mg/d, 3 d | None | Asymptomatic, 30 mos. |
13. | Segmental hepatectomy | Liver mass, localized | 4x5 cm | No | Albendazole 400 mg/d, 3 d | None | Asymptomatic, 42 mos. |
14. | Segmental hepatectomy | Liver mass, localized | 2 cm | No | Albendazole 400 mg/d, 3 d | None | Asymptomatic, 43 mos. |