In the modern days the diagnosis of hepatic amoebiasis is made by positive serological tests for amoebiasis in high titre and the imaging procedure of sonography. If both these tests are done routinely, there will be very few patients left in whom the serological tests for amaebiasis are strongly positive and in whom the sonography of the liver is normal.

Even in such cases, the label of amoebic hepatitis should be avoided. A CT scan of the liver done now would invariably show multiple small abscesses, which are always missed on sonography.

I have confirmed in more than a thousand autopsy cases of amoebiasis, that the entity of amoebic hepatitis does not exist. Liver biopsy in such cases will bring out a variety of differential diagnosis who were otherwise labelled as amoebic hepatitis.