J Acute Care Surg.  2023 Nov;13(3):138-140. 10.17479/jacs.2023.13.3.138.

Ruptured Splenic Abscess with Pneumoperitoneum: A Rare Presentation

Affiliations
  • 1Department of Surgery, Government Medical College and Hospital, Chandigarh, India

Abstract

Splenic abscess is a rare entity encountered during clinical practice, with a high mortality rate. Formation of gas in splenic abscess is usually localized to the left upper quadrant of the abdomen. Here we report a case where the splenic abscess ruptured and presented with generalized peritonitis. The erect chest radiograph showed free air under the right dome of the diaphragm, thus masquerading a hollow viscera perforation (most common cause of pneumoperitoneum).

Keyword

pneumoperitoneum, splenic abscess
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