title: Usefulness of abdominal CT scan in severe peritoneal sepsis linked to primary peritonitis.
abstract: 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.
authors.affiliation: Medical Intensive Care Unit, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France. francois.brivet@abc.ap-hop-paris.fr
authors.forename: François Gilles
authors.initials: FG
authors.lastname: Brivet
authors.forename: Claude
authors.initials: C
authors.lastname: Smadja
authors.forename: Ulrich
authors.initials: U
authors.lastname: Hilbert
authors.forename: Corinne
authors.initials: C
authors.lastname: Vons
authors.forename: Frederic
authors.initials: F
authors.lastname: Jacobs
authors.forename: Haleh
authors.initials: H
authors.lastname: Gordji-Therani
authors.forename: Dominique
authors.initials: D
authors.lastname: Musset
mesh_terms: 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