ArticleJournal of surgical case reports2025
When free air misleads: pneumoperitoneum from a ruptured pyogenic liver abscess.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pyogenic liver abscess (PLA) is a severe condition with mortality rates of 10%-19%. Spontaneous rupture occurs in about 5% of cases and carries much higher mortality. Rarely, ruptured PLA presents with pneumoperitoneum, mimicking hollow viscus perforation. We report a 48-year-old man with chronic gastric ulcer disease who presented with fever, malaise, nausea, and abdominal distension two weeks after endoscopic hemostasis. He rapidly deteriorated with septic shock and peritoneal signs. Ultrasound was inconclusive, and repeat X-ray revealed pneumoperitoneum. Laparotomy found purulent peritonitis from a subcapsular abscess in segment II, perforating both diaphragmatic and visceral hepatic surfaces.
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