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[Rupture of a pyogenic liver abscess: a rare cause of pneumoperitoneum]

Daniel Gambí Pisonero, Fernando Garrido Menéndez, Eloy Sancho Calatrava, Ana Serantes Gómez
Gastroenterología y Hepatología 2010, 33 (2): 99-101
19889477
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.

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