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The tropical or amœbic abscess of the liver concomitant with or a sequel of dysentery presents enough diagnostic difficulties to make any discussion of it acceptable to those who are initiated. In this brief paper no attempt is made to discuss this great subject in general, but these few suggestive ideas occurred to me in the study of this disease.
The clinical picture of liver abscess given in text-books seems clear and plain enough, but the text-book descriptions are often really of little help to the surgeon in his work, because they appear to be largely based on far advanced cases in which the pathologic process has extended to involvement of neighboring structures and the abscess has reached such great proportions that the patient is in a desperate situation. It is remarkable also, that many text-book descriptions indicate that the authors in their discussion of differential diagnosis have in mind
CULLER RM. LIVER ABSCESSA REPORT OF TWO CASES OF ABSCESS OF THE LEFT LOBE. JAMA. 1910;55(6):500-501. doi:10.1001/jama.1910.04330060052016