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Related Experiment Videos

Ruptured splenic abscess presenting as pneumoperitoneum.

S A Rege1, U Philip, N Quentin

  • 1Department of General Surgery, Seth G S Medical College and K E M Hospital, Mumbai. samrege@yahoo.com

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|January 31, 2002
PubMed
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Spontaneous pneumoperitoneum, often from organ rupture, can rarely stem from lung or intestinal issues. A ruptured splenic abscess caused pneumoperitoneum in a 30-year-old man, successfully treated with splenectomy.

Area of Science:

  • Gastroenterology
  • General Surgery
  • Radiology

Background:

  • Spontaneous pneumoperitoneum typically indicates a perforated hollow viscus.
  • Rarely, it can be associated with pulmonary interstitial emphysema or intestinal inflammatory disease.

Observation:

  • A 30-year-old male presented with acute abdomen and pneumoperitoneum.
  • The patient was diagnosed with a ruptured splenic abscess.

Findings:

  • Splenectomy was performed as the treatment for the ruptured splenic abscess.
  • The patient recovered well and remained asymptomatic two months post-surgery.

Implications:

  • This case highlights a rare cause of spontaneous pneumoperitoneum.
  • Ruptured splenic abscess should be considered in the differential diagnosis of spontaneous pneumoperitoneum.

Related Experiment Videos

  • Prompt surgical intervention (splenectomy) can lead to favorable outcomes.