Rare Case of Pneumoperitoneum: A Ruptured Splenic Abscess
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Splenic abscess have a documented incidence of between 0.14% and 0.7% in autopsies.they generally occur in patients with underlying comorbidities, which commonly include neoplasia, immunodeficiency, trauma, metastatic infection, splenic infarct or diabetes [2]. The best management of splenic abscesses is still debatable with the various modalities including antibiotics, percutaneous drainage or splenectomy. To our knowledge, there have only been four other reported cases of ruptured splenic abscess causing pneumoperitoneum [4].Here, we will discuss about a case of pneumoperitoneum in a 55 yrs old diabetic male who on exploratory laparotomy revealed ruptured splenic abscess and was managed conservatively following drainage of pus. Patient recovered uneventfully and eventually discharged on 10th day.
Authors and Affiliations
DR. Jiwesh Kumar, DR. Sanjay Singh
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