Splenic abscess presenting as a case of pneumoperitoneum: a rare presentation
DOI:
https://doi.org/10.18203/2349-2902.isj20213157Keywords:
Splenic abscess, Ruptured splenic abscess, Pneumoperitoneum. Acute abdomen, SplenectomyAbstract
Pneumoperitoneum is more pathognomonic of ruptured hollow viscera which requires urgent surgical intervention. But uncommon surgical entities may present with pneumoperitoneum. Splenic abscess is a relatively rare medical condition that results from bacteraemia. Pneumoperitoneum in a ruptured splenic abscess is very uncommon and is often misdiagnosed as a perforation. Spontaneous rupture of splenic abscess is a life-threatening emergency mandating early surgical intervention. We report a case of ruptured splenic abscess which presented with peritonitis and pneumoperitoneum, managed successfully by splenectomy.
References
To KB, Washer LL, Varban OA, Haft JW, Fisher-Hubbard A, Napolitano LM. Splenectomy for splenic abscess. Surg Infect. 2013;14(3):337-8.
George P, Ahmed A, Maroli R, Tauro LF. Peritonitis secondary to ruptured splenic abscess: a grave complication of typhoid fever. Asian Pacific J Trop Med. 2012;5(12):1004-6.
Kovacic V, Ljutic D, Jelicic I, Sain M, Radic J, Radic M. Spleen rupture associated with septic emboli and endocarditis in a hemodialysis patient. Blood purification. 2013;35(1-3):177-80.
Lee WS, Choi ST, Kim KK. Splenic abscess: a single institution study and review of the literature. Yonsei Med J. 2011;52(2):288.
Tonolini M, Bianco R. Nontraumatic splenic emergencies: cross-sectional imaging findings and triage. Emerg Radiol. 2013;20(4):323-32.
Rajasekharan C, Jayapal T. Ruptured splenic abscess following percutaneous transluminal angioplasty in a 40-year-old man. Case Rep Gastroenterol. 2012;6(2):333-9.
Conzo G, Docimo G, Palazzo A, Della Pietra C, Stanzione F, Sciascia V, Santini L. The role of percutaneous US-guided drainage in the treatment of splenic abscess. Ann Ital Chir. 2012;83(5):433-6.
Sreekar H, Saraf V, Pangi AC, Sreeharsha H, Reddy R, Kamat G. A retrospective study of 75 cases of splenic abscess. Indian J Surg. 2011;73(6):398-402.
John AK. Splenic rupture in a patient with pelvic abscess and sepsis. Singapore Med J. 2012;53(1):6-8.
Tzeng CW, Wang YC, Hsieh CH. Peritonitis resulting from ruptured splenic abscess after splenic infarction in a patient with polycythemia vera. Am Surg. 2012;78(11):474-5.
Narra RK, Jehendran MV. Ruptured splenic abscess causing pneumoperitoneum: a rare cause revisited. Case Rep. 2015;2014209055.