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Pneumoperitoneum caused by ruptured gas‐containing liver abscess
Author(s) -
Shiba Hiroaki,
Aoki Hiroaki,
Misawa Takeyuki,
Kobayashi Susumu,
Saito Ryota,
Yanaga Katsuhiko
Publication year - 2007
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-006-1136-y
Subject(s) - pneumoperitoneum , medicine , liver abscess , abscess , klebsiella pneumoniae , abdominal pain , surgery , hepatectomy , computed tomography , emergency department , laparoscopy , radiology , biochemistry , chemistry , escherichia coli , resection , gene , psychiatry
An 84‐year‐old woman was admitted to our hospital with high fever, and she suddenly complained of severe abdominal pain the next day. Computed tomography revealed a gas‐containing abscess in the lateral segment of the liver, with spontaneous pneumoperitoneum. An emergency lateral segmentectomy was performed, and Klebsiella pneumoniae was cultured from the liver tissue, abscess, and blood. The patient made a satisfactory recovery and was discharged on the thirty‐first postoperative day. Pneumoperitoneum caused by the rupture of a gas‐containing liver abscess is rare, and to our best knowledge, this is the first report, in the English‐language literature, of a patient who has undergone successful hepatectomy for such a condition.