Ruptured splenic abscess: A cause of pneumoperitoneum in a patient with AIDS

Kousei Ishigami, Gerald T. Decker, Jody A. Bolton-Smith, Isaac Samuel, Scott R. Wilson, Bruce P. Brown

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5 Citations (Scopus)

Abstract

We encountered a case of pneumoperitoneum caused by a gas-forming splenic abscess in a patient with acquired immunodeficiency syndrome (AIDS). Plain abdominal films and computed tomography demonstrated a large amount of free air. Pneumoperitoneum was eventually shown to represent gas liberated from fermentation by gas-forming organisms within the splenic abscess. Gas-containing necrotic tissue from the ruptured spleen mimicked the spillage of feces from colon perforation. The authors emphasize that a ruptured abscess should be included in the differential diagnosis of acute abdomen in an immunocompromised patient.

Original languageEnglish
Pages (from-to)163-165
Number of pages3
JournalEmergency Radiology
Volume10
Issue number3
DOIs
Publication statusPublished - Dec 2003
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Ishigami, K., Decker, G. T., Bolton-Smith, J. A., Samuel, I., Wilson, S. R., & Brown, B. P. (2003). Ruptured splenic abscess: A cause of pneumoperitoneum in a patient with AIDS. Emergency Radiology, 10(3), 163-165. https://doi.org/10.1007/s10140-003-0302-7