Usefulness of abdominal CT scan in severe peritoneal sepsis linked to primary peritonitis.
We report 2 cases of primary group A streptococcal peritonitis in which emergency abdominal CT scan ruled out a hollow viscus perforation, or necrosis, avoiding unnecessary laparotomy. These cases highlight the usefulness of abdominal CT scan and suggest that blind surgical exploration has no advantages.
Brivet
François Gilles
FG
Medical Intensive Care Unit, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France. francois.brivet@abc.ap-hop-paris.fr
Smadja
Claude
C
Hilbert
Ulrich
U
Vons
Corinne
C
Jacobs
Frederic
F
Gordji-Therani
Haleh
H
Musset
Dominique
D
D034841:Abdominal Cavity / Q000000981:diagnostic imaging*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D010538:Peritonitis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D018805:Sepsis / Q000000981:diagnostic imaging*; D013290:Streptococcal Infections / Q000000981:diagnostic imaging* / Q000628:therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification / Q000472:pathogenicity*; D014057:Tomography, X-Ray Computed