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5.
Gastroenterol. hepatol. (Ed. impr.) ; 33(2): 99-101, feb. 2010. ilus
Article in Spanish | IBECS | ID: ibc-80116

ABSTRACT

La presencia de neumoperitoneo espontáneo es un hallazgo común en pacientes con enfermedad abdominal. En el 90% de las ocasiones es consecuencia de una perforación de víscera hueca1. La rotura de un absceso hepático piógeno es una complicación infrecuente que acontece entre el 5 y el 15% de los casos, y es una causa extremadamente rara de neumoperitoneo. Existen muy pocos casos descritos en la literatura médica al respecto.Debido a su elevado interés clínico, presentamos el caso de una paciente con neumoperitoneo espontáneo secundario a la rotura de un absceso hepático piógeno(AU)


Spontaneous pneumoperitoneum is a common finding in patients with abdominal disorders. In 90% of cases, this entity results from hollow viscera perforation. Rupture of a pyogenic liver abscess is an infrequent complication occurring in 5 to 15% of cases. Pneumoperitoneum secondary to intraperitoneal rupture of an abscess is extremely rare and very few cases have been reported in the literature. Given its clinical interest, we report a case of pneumoperitoneum due to spontaneous rupture of a gas-containing pyogenic liver abscess (AU)


Subject(s)
Humans , Female , Aged, 80 and over , Abdomen, Acute/etiology , Escherichia coli Infections/complications , Liver Abscess, Pyogenic/complications , Pneumoperitoneum/etiology , Escherichia coli Infections/surgery , Follow-Up Studies , Laparotomy , Liver Abscess, Pyogenic/surgery , Rupture, Spontaneous , Tomography, X-Ray Computed , Treatment Outcome
6.
Gastroenterol Hepatol ; 33(2): 99-101, 2010 Feb.
Article in Spanish | MEDLINE | ID: mdl-19889477

ABSTRACT

Spontaneous pneumoperitoneum is a common finding in patients with abdominal disorders. In 90% of cases, this entity results from hollow viscera perforation. Rupture of a pyogenic liver abscess is an infrequent complication occurring in 5 to 15% of cases. Pneumoperitoneum secondary to intraperitoneal rupture of an abscess is extremely rare and very few cases have been reported in the literature. Given its clinical interest, we report a case of pneumoperitoneum due to spontaneous rupture of a gas-containing pyogenic liver abscess.


Subject(s)
Abdomen, Acute/etiology , Escherichia coli Infections/complications , Liver Abscess, Pyogenic/complications , Pneumoperitoneum/etiology , Abdomen, Acute/diagnostic imaging , Aged, 80 and over , Cholangiography , Cholangiopancreatography, Magnetic Resonance , Drainage , Emergencies , Escherichia coli Infections/surgery , Female , Follow-Up Studies , Humans , Laparotomy , Liver Abscess, Pyogenic/diagnostic imaging , Liver Abscess, Pyogenic/surgery , Pneumoperitoneum/diagnostic imaging , Radiography, Thoracic , Rupture, Spontaneous , Time Factors , Tomography, X-Ray Computed , Treatment Outcome
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