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

Research output: Contribution to journalArticle

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

Fingerprint

Pneumoperitoneum
Abscess
Acquired Immunodeficiency Syndrome
Gases
Acute Abdomen
Immunocompromised Host
Motion Pictures
Feces
Fermentation
Colon
Differential Diagnosis
Spleen
Air
Tomography

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

Ruptured splenic abscess : A cause of pneumoperitoneum in a patient with AIDS. / Ishigami, Kousei; Decker, Gerald T.; Bolton-Smith, Jody A.; Samuel, Isaac; Wilson, Scott R.; Brown, Bruce P.

In: Emergency Radiology, Vol. 10, No. 3, 12.2003, p. 163-165.

Research output: Contribution to journalArticle

Ishigami, K, Decker, GT, Bolton-Smith, JA, Samuel, I, Wilson, SR & Brown, BP 2003, 'Ruptured splenic abscess: A cause of pneumoperitoneum in a patient with AIDS', Emergency Radiology, vol. 10, no. 3, pp. 163-165. https://doi.org/10.1007/s10140-003-0302-7
Ishigami K, Decker GT, Bolton-Smith JA, Samuel I, Wilson SR, Brown BP. Ruptured splenic abscess: A cause of pneumoperitoneum in a patient with AIDS. Emergency Radiology. 2003 Dec;10(3):163-165. https://doi.org/10.1007/s10140-003-0302-7
Ishigami, Kousei ; Decker, Gerald T. ; Bolton-Smith, Jody A. ; Samuel, Isaac ; Wilson, Scott R. ; Brown, Bruce P. / Ruptured splenic abscess : A cause of pneumoperitoneum in a patient with AIDS. In: Emergency Radiology. 2003 ; Vol. 10, No. 3. pp. 163-165.
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