Ruptured liver abscess presenting as pneumoperitoneum

Abstract

The presence of free air within the peritoneal cavity, referred to as pneumoperitoneum, in 85% to 90% of cases is due to perforated bowel. The rare case is reported of pneumoperitoneum resulting from a ruptured liver abscess in a young male with no comorbidity.

A ruptured pyogenic left lobe liver abscess in a 23-year-old male was accompanied by chest X-ray features suggestive of free gas under the diaphragm with peritonitis. Exploratory laparotomy was performed, with localization and drainage of the liver abscess and thorough peritoneal lavage. Culture of the pus from the liver abscess grew Klebsiella sensitive to Piperacillin and Tazobactam, and antibiotic treatment was administere

Conclusion: Although pneumoperitoneum resulting from a ruptured liver abscess is rare, it must be kept in mind as a possible source, especially when the hollow organs are normal.

from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2h9wh70