Ruptured splenic abscess presenting as peritonitis: a case report.

Incidence of splenic abscess is a rare -0.05-0.7% and rarer still is the rupture of the abscess. We present a patient who presented with features of peritonitis and investigations and emergency laparotomy revealed a ruptured splenic abscess with dense adhesions between spleen and diaphragm, stomach, splenic flexure, kidney and lateral abdominal wall due to perisplenitis. Patient was treated with emergency splenectomy and antibiotics. Patient recovered although after a stormy immediate post operative period due to septicaemia. This case is presented owing to the rarity of presentation.

Parotid fistula due to iatrogenic parotid duct injury.

The most common cause of parotid fistula is trauma, operative complications followed by malignancy and infection. Injury to the duct may be difficult to diagnose unless one has high index of suspicion while operating in the parotid region. Sequelae of inadequate diagnosis and treatment include parotid fistula and sialocele formation which are inconvenient for the patient and difficult to treat. We are reporting a case of parotid fistula due to injury to parotid duct following extensive debridement for necrotising fasciitis of cheek extending to the neck following tooth extraction.