Approximately 90% of patients with E histolytica are asymptomatic.[2] The two most common manifestations of E histolytica include colitis (bloody stool with mucus, abdominal pain, and/or diarrhea), and discovery of a liver abscess on imaging.[3] Liver abscess' commonly present as right upper quadrant abdominal pain and fever, with worsening features associated with abscess rupture.[4]