What is the main complication associated with amoebic liver abscess?

The main complication associated with an amoebic liver abscess is the infection leading to tissue destruction. Amoebic liver abscesses, often caused by Entamoeba histolytica, can result in significant damage to liver tissue as the organism invades and multiplies within the liver parenchyma. This invasion not only leads to pus formation but can also contribute to a range of complications, including the potential rupture of the abscess into the peritoneal cavity or into adjacent organs, resulting in further inflammatory processes or secondary infections.

The other options, while they may be relevant to other medical conditions or complications, are not directly associated with amoebic liver abscesses specifically. Fluid accumulation in the lungs, severe dehydration, and gastrointestinal bleeding do not directly highlight the primary risks and complications stemming from the infection and tissue destruction caused by amoebic liver abscesses. Hence, understanding that the primary risk centers around tissue damage helps in grasping the critical aspects of managing this condition effectively.