title: [Rupture of a pyogenic liver abscess: a rare cause of pneumoperitoneum].
abstract: Spontaneous pneumoperitoneum is a common finding in patients with abdominal disorders. In 90% of cases, this entity results from hollow viscera perforation. Rupture of a pyogenic liver abscess is an infrequent complication occurring in 5 to 15% of cases. Pneumoperitoneum secondary to intraperitoneal rupture of an abscess is extremely rare and very few cases have been reported in the literature. Given its clinical interest, we report a case of pneumoperitoneum due to spontaneous rupture of a gas-containing pyogenic liver abscess.
authors.affiliation: Servicios de Cirugía General y de Aparato Digestivo, Hospital Santa Bárbara, Puertollano, Ciudad Real, España. daniel.gambi@gmail.com
authors.forename: Daniel
authors.initials: D
authors.lastname: Gambí Pisonero
authors.forename: Fernando
authors.initials: F
authors.lastname: Garrido Menéndez
authors.forename: Eloy
authors.initials: E
authors.lastname: Sancho Calatrava
authors.forename: Ana
authors.initials: A
authors.lastname: Serantes Gómez
mesh_terms: D000006:Abdomen, Acute / Q000000981:diagnostic imaging / Q000209:etiology*; D000369:Aged, 80 and over; D002758:Cholangiography; D049448:Cholangiopancreatography, Magnetic Resonance; D004322:Drainage; D004630:Emergencies; D004927:Escherichia coli Infections / Q000150:complications* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology*; D013902:Radiography, Thoracic; D012422:Rupture, Spontaneous; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome