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Metronidazole and a follow up imaging at 3 months showed resolution of abscess cavity. This case shows that amoebic liver abscess is possible even in first world country patients without travel history. Left sided abscess and portal vein thrombosis are rare and hence reported. This case shows that amoebic liver abscess is possible even in first world country patients without travel history. Left sided abscess and portal vein thrombosis are rare and hence reported. Non-communicable diseases are the leading causes of death, largely due to