ArticleWorld journal of gastrointestinal surgery2013
Uncommon cause of pneumoperitoneum.
Article in World journal of gastrointestinal surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Pneumoperitoneum Caused by a Ruptured Splenic Abscess Mimicking Gastrointestinal Perforation: A Case Report.Surgical case reports · 2025Article
- Ruptured splenic abscess as an extremely rare cause of pneumoperitoneum: A comprehensive review with a case report.Radiology case reports · 2023Article
- Large-volume pneumoperitoneum and septic peritonitis secondary to splenic abscess rupture in a dog.The Canadian veterinary journal = La revue veterinaire canadienne · 2020Article
- Ruptured splenic abscess causing pneumoperitoneum: a rare cause revisited.BMJ case reports · 2015Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Free intraperitoneal air is thought to be pathognomonic for perforation of a hollow viscus. Here, we present a patient with pain in the upper left quadrant, a mild fever and leukocytosis. Free air was suggested under the left diaphragm but during the explorative laparotomy no signs of gastric or diverticular perforation were seen. Further exploration and revision of the computed tomography revealed a perforated splenic abscess. Splenic abscesses are a rare clinical entity. Presenting symptoms are often non-specific and include upper abdominal pain, recurrent or persistent fever, nausea and vomiting, splenomegaly, leukocytosis and left lower chest abnormalities. Predisposing conditions can be very divergent and include depressed immunosuppressed state, metastatic or contiguous infection, splenic infarction and trauma. Splenic abscess should therefore be considered in a patient with fever, left upper abdominal pain and leukocytosis. Moreover, our case shows that splenic abscess can present in an exceptional way without clear underlying aetiology and should even be considered in the presence of free abdominal air.
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Registered trials
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