Sudden Death due to Spontaneous Rupture of Amoebic Liver Abscess: a case report

Abstract

In the tropical countries about 5 % of the population infected with amoebiasis suffers from hepatic complications. However, in present era  sudden deaths due to rupture of amebic liver abscess are rare in occurrence. Atwenty-two years old man under trial was lodged in jail in stable condition. After 12 days of lodging there he died suddenly. Amagisterial  inquest was conducted as the case was of death in custody. The forensic autopsy on the body revealed rupture of a large amebic abscess in  the peritoneal cavity was the primary cause of death.Sudden deaths from spontaneous rupture of amoebic liver abscess are fairly uncommon. We report a novel case of fatal spontaneous  amoebic liver abscess rupture while in judicial custody. The case initially presented with vague complaints and the proper diagnosis and  treatment were missed. Such preventable deaths could be avoided by careful clinical examination followed by proper investigations and  timely treatment.