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December 1930


Author Affiliations

From the Division of Surgery, the Mayo Clinic.

Arch Surg. 1930;21(6):1146-1160. doi:10.1001/archsurg.1930.01150180262016

The occurrence of amebic dysentery in the temperate zones is rare when compared with its occurrence in the tropical zone. It has been only in recent years that the disease has been recognized with any frequency in patients who have not been in the tropics. Amebic abscess is one of the most common complications of amebic dysentery. Rogers1 stated that acute amebic dysentery usually presents scattered lesions in the bowel and multiple abscesses in the liver. In chronic cases, the lesions are less extensive and may involve only a small part of the bowel. In these cases the abscesses in the liver are usually large and single and the intestinal disorder is often latent, with no clinical manifestations. It is generally accepted that the amebas pass from the ulcerated areas of the bowel, through the portal vein to the liver. In acute cases, amebas in great numbers, often associated

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