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Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism
Acute abdominal pain with free air under the diaphragm visible on chest/abdomen X-ray (pneumoperitoneum) is a medical emergency. Most of such cases of pneumoperitoneum are attributable to perforated hollow viscus; however, other possibilities like rupture of liver abscess (by a gas-forming organism)...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884540/ https://www.ncbi.nlm.nih.gov/pubmed/35242462 http://dx.doi.org/10.7759/cureus.21672 |
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author | Maliyakkal, Abdul Majeed Naushad, Vamanjore A Al Mokdad, Omran I Hanana, Fathima Basheer, Sahiba M Palaki, Jafer Ajanur |
author_facet | Maliyakkal, Abdul Majeed Naushad, Vamanjore A Al Mokdad, Omran I Hanana, Fathima Basheer, Sahiba M Palaki, Jafer Ajanur |
author_sort | Maliyakkal, Abdul Majeed |
collection | PubMed |
description | Acute abdominal pain with free air under the diaphragm visible on chest/abdomen X-ray (pneumoperitoneum) is a medical emergency. Most of such cases of pneumoperitoneum are attributable to perforated hollow viscus; however, other possibilities like rupture of liver abscess (by a gas-forming organism) also need to be considered. Further imaging like a CT scan might help in the diagnosis and would also obviate the need for laparotomy in some of such cases. We report a case of acute abdominal pain with gas under the diaphragm due to a ruptured liver abscess caused by Klebsiella pneumoniae. The patient was managed successfully with ultrasound-guided percutaneous aspiration and insertion of a drain along with antibiotics and supportive measures, and no laparotomy was performed. |
format | Online Article Text |
id | pubmed-8884540 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-88845402022-03-02 Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism Maliyakkal, Abdul Majeed Naushad, Vamanjore A Al Mokdad, Omran I Hanana, Fathima Basheer, Sahiba M Palaki, Jafer Ajanur Cureus Emergency Medicine Acute abdominal pain with free air under the diaphragm visible on chest/abdomen X-ray (pneumoperitoneum) is a medical emergency. Most of such cases of pneumoperitoneum are attributable to perforated hollow viscus; however, other possibilities like rupture of liver abscess (by a gas-forming organism) also need to be considered. Further imaging like a CT scan might help in the diagnosis and would also obviate the need for laparotomy in some of such cases. We report a case of acute abdominal pain with gas under the diaphragm due to a ruptured liver abscess caused by Klebsiella pneumoniae. The patient was managed successfully with ultrasound-guided percutaneous aspiration and insertion of a drain along with antibiotics and supportive measures, and no laparotomy was performed. Cureus 2022-01-27 /pmc/articles/PMC8884540/ /pubmed/35242462 http://dx.doi.org/10.7759/cureus.21672 Text en Copyright © 2022, Maliyakkal et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Maliyakkal, Abdul Majeed Naushad, Vamanjore A Al Mokdad, Omran I Hanana, Fathima Basheer, Sahiba M Palaki, Jafer Ajanur Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism |
title | Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism |
title_full | Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism |
title_fullStr | Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism |
title_full_unstemmed | Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism |
title_short | Gas Under Diaphragm: A Rare Case of Ruptured Liver Abscess With Gas Forming Organism |
title_sort | gas under diaphragm: a rare case of ruptured liver abscess with gas forming organism |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8884540/ https://www.ncbi.nlm.nih.gov/pubmed/35242462 http://dx.doi.org/10.7759/cureus.21672 |
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