title: Pneumoperitoneum caused by ruptured gas-containing liver abscess.
abstract: An 84-year-old woman was admitted to our hospital with high fever, and she suddenly complained of severe abdominal pain the next day. Computed tomography revealed a gas-containing abscess in the lateral segment of the liver, with spontaneous pneumoperitoneum. An emergency lateral segmentectomy was performed, and Klebsiella pneumoniae was cultured from the liver tissue, abscess, and blood. The patient made a satisfactory recovery and was discharged on the thirty-first postoperative day. Pneumoperitoneum caused by the rupture of a gas-containing liver abscess is rare, and to our best knowledge, this is the first report, in the English-language literature, of a patient who has undergone successful hepatectomy for such a condition.
authors: Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Tokyo 105-8461, Japan.
authors: Hiroaki
authors: H
authors: Shiba
authors: Hiroaki
authors: H
authors: Aoki
authors: Takeyuki
authors: T
authors: Misawa
authors: Susumu
authors: S
authors: Kobayashi
authors: Ryota
authors: R
authors: Saito
authors: Katsuhiko
authors: K
authors: Yanaga
mesh_terms: D000369:Aged, 80 and over; D004646:Emphysema / Q000150:complications* / Q000382:microbiology; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications; D007711:Klebsiella pneumoniae; D008099:Liver / Q000382:microbiology; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D011027:Pneumoperitoneum / Q000209:etiology*; D012421:Rupture