A 14 y/o girl presented with a 4-day history of abdominal pain; nonbloody, nonbilious emesis; and decreased urinary output. The pain was epigastric and sharp, without radiation, and not related to the consumption of food. have low-grade fevers, rhinorrhea, and a nonproductive cough of 3 days' duration. No weight loss. with weight 60 kg 1 yr back diagnosed with presumptive gastroesophageal reflux disease, and prescribed ranitidine, discontinued after 1 month.

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It may be cyst due to amaebic infestation D/D To be differentiated from hydatid cyst USG guided aspiration and therapeutic treatment
Most likely AMOEBIC CYST adv usg guided aspiration for diagnostic and therapeutic treatment D/d hydatid cyst
Thanx dr Chanchal Tiwari
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Could be infected biliary cyst. Treat conservatively with antibiotics & may plan excision at a later date .
According usg it's look like a amoebic cyst ...usg guided aspirations And Rx according to symptoms
I agree Sir
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Yes Amoebic cyst
I agree
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Amoebic cyst
I agree Sir
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Will CT abdomen help in diagnosis. . Antibiotic cover for gram negative andpostitive should be done afterwards US guided aspirations diagnosticand therapeutic will be required.
Acute gastric ulcer with haemetemesis.

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