Acute Fulminant Necrotizing Amoebic Colitis Leading to Intestinal Perforation

Invasive intestinal amoebiasis presenting as cecal perforation is a rare entity in children. It is associated with high mortality and dismal outcome.[1] We here-by highlight a case of 4-year old child with amoebic colitis causing cecal perforation and peritonitis. A 4-year old boy presented with acute abdomen for 2 days. There was a history of recurrent abdominal pain for 2 weeks. After initial resuscitation, ab-dominal radiograph was done, which showed multi-ple air-fluid levels. Ultrasonography showed dilated bowel loops with thickened wall. Blood investigations revealed anemia and markedly raised C-reactive protein. After optimization, laparotomy was per-formed which revealed gangrenous ileo-cecal region and perforations in cecum and terminal ileum, wit