%0 Journal Article %A B R Davidson %A J P Neoptolemos %A D Watkin %A I C Talbot %T Invasive amoebiasis: an unusual presentation. %D 1988 %R 10.1136/gut.29.5.682 %J Gut %P 682-685 %V 29 %N 5 %X A 63 year old Asian woman who presented with three week's abdominal pain was found to have a hard right iliac fossa mass and rectal ulceration. Profuse rectal bleeding necessitated a laparotomy. An inflammatory paracaecal mass with fistulae involving appendix, small bowel, and bladder was excised with exteriorisation of the bowel ends. Microscopy showed invasive amoebae. Re-anastomosis was successfully done after treatment with metronidazole and diloxanide. There are no previous reports of a paracaecal amoeboma with fistulae to either the appendix, or urinary bladder. %U https://gut.bmj.com/content/gutjnl/29/5/682.full.pdf