Amebic granuloma of the colon and rectum

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Abstract
Summary and Conclusions The three cases presented reveal the necessity of very thorough examination of the stools in all cases of rectal or colonic disturbances, especially those that are chronic in which a mass is found. IfE. histolytica are discovered and there is a filling defect in the colon, an ameboma should be suspected and a therapeutic trial with antiamebic drugs should be administered before operation is performed. The great majority of amebomas disappear completely within a month after treatment. It is important to emphasize that both amebic colitis and ameboma may coexist with a carcinoma of the colon. I believe that all this is of extreme importance in this jet age, when transportation is so rapid that thousands of people can travel daily to and from the far reaches of the world where they can be easily exposed to amebiasis. Since amebic granuloma is easily mistaken for other inflammatory lesions or neoplasms of the rectum and colon, the surgeon must never underrate the importance of the history and an exhaustive search for amebas. These measures are necessary if the surgeon hopes to avoid disastrous operations which unfortunately still take place.

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