Pneumoperitoneum Following the Spontaneous Rupture of a Gas-Containing Pyogenic Liver Abscess: Report of a Case |
| |
Authors: | Minoru Ukikusa Takuya Inomoto Toshiyuki Kitai Keiichi Ino Hiroshi Higashiyama Akira Arimoto Yasuo Nakajima Tetsuji Hanafusa Hiroji Awane |
| |
Institution: | (1) Department of Surgery, Osaka Red Cross Hospital, 5-53 Fudegasaki-cho, Tennouji-ku, Osaka 543-8555, Japan, JP |
| |
Abstract: | We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus
presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal
free air and a gas-containing liver abscess, whereby a diagnosis of a ruptured liver abscess was made. An emergency operation
was performed, and the abscess was drained followed by peritoneal lavage and the administration of appropriate antibiotics.
To the best of our knowledge, very few cases of spontaneous pneumoperitoneum occurring secondary to the rupture of a gas-containing
liver abscess have been encountered in Japan.
Received: February 10, 2000 / Accepted: July 25, 2000 |
| |
Keywords: | Gas-containing pyogenic liver abscess Pneumoperitoneum Operative drainage Diabetes mellitus |
本文献已被 PubMed SpringerLink 等数据库收录! |
|