Amoebiasis presenting as an abdominal wall abscess (Amoeboma cutis)

A case of amoebic liver abscess which eroded the anterior abdominal wall and presented as an epigastric skin lesion is described. The diagnosis was established on finding trophozoites of Entamoeba histolytica in pus and tissue from the abscess wall. Treatment was carried out by incision and drainage, specific chemotherapy, and surgery, including closure of an associated gastro-cutaneous fistula (AU)