Ruptured splenic abscess presenting as pneumoperitoneum.
Spontaneous pneumoperitoneum follows perforation of hollow viscus; rarely, it may arise from pulmonary interstitial emphysema or intestinal inflammatory disease. We report a 30-year-old man with ruptured splenic abscess who presented with acute abdomen and had pneumoperitoneum. He was treated with splenectomy and is asymptomatic 2 months later.
Rege
S A
SA
Department of General Surgery, Seth G S Medical College and K E M Hospital, Mumbai. samrege@yahoo.com
Philip
U
U
Quentin
N
N
Deolekar
S
S
Rohandia
O
O
D000006:Abdomen, Acute / Q000175:diagnosis; D000038:Abscess / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000188:drug therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011027:Pneumoperitoneum / Q000175:diagnosis*; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000175:diagnosis* / Q000601:surgery
D000900:Anti-Bacterial Agents