Splenic rupture secondary to abscess: Rare cause of pneumoperitoneum. Case report

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AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-10-05T16:34:16Z
Fecha de publicación2017-01-01
ResumenBackground Splenic abscesses are rare entities; reports are commonly described in immunocompromised patients (72%) as: hematologic diseases, diabetes, endocarditis, acquired immunodeficiency syndrome, transplant patients and subjects who had abdominal trauma or splenic infarction. The main and most serious complication is the abscess rupture into the peritoneal cavity or adjacent organs (stomach or colon), which determines hemodynamic instability or septic state. Clinical case Fifty-year-old man, who was admitted at Emergency Room due eight days’ progressive, oppressive, and current pain; intensity 4/10, irradiated at hemi-back, which was higher intensity during the standing and decreased at supine position. It was accompanied by nausea and vomiting in two occasions. Laboratory results Hemoglobin 15.1 g/dl, hematocrit 45.2%, platelets 176 × 10 <sup>3</sup> , 23.1 × 10 <sup>3</sup> leukocytosis, neutrophils 92%. Simple abdominal radiographic studies revealed in ‘ground glass’ and radiopaque imagines. Conclusions At presence of free air inside the abdominal cavity, is usually to think of a complicated diverticular disease, intestinal perforation or perforated peptic ulcer. The actual medical literature described very few cases of splenic abscess with pneumoperitoneum as cardinal manifestation. In our case, the splenic abscess was detected during exploratory laparotomy and only in retrospective the imaging studies were interpreted.es_ES
Doihttps://doi.org/10.1016/j.circir.2016.10.021es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/6047
Idiomaenes_ES
EditorialMexican Academy of Surgeryes_ES
RelaciónCirugia y Cirujanos (English Edition)es_ES
URL relacionadohttps://doi.org/10.1016/j.circir.2016.10.021es_ES
DerechosAcceso abierto (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_abf2es_ES
FuenteCirugia y Cirujanos (English Edition)
Palabra claveHaemoperitoneumes_ES
Palabra clavePneumoperitoneumes_ES
Palabra claveSpleenes_ES
Palabra claveSplenic abscesses_ES
Palabra claveSplenic rupturees_ES
TítuloSplenic rupture secondary to abscess: Rare cause of pneumoperitoneum. Case reportes_ES
Título alternativoRotura esplénica secundaria a absceso, causa poco común de neumoperitoneo. Reporte de un casoes_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorBarrón-Reyes, Jorge Enrique
AutorChávez-Galván, Julio César
AutorMartínez-Peralta, Jesús Alejandro
AutorLópez-Valdés, Julio César
AutorBarrón-Reyes, Jorge Enriquees_ES
AutorChávez-Galván, Julio Césares_ES
AutorMartínez-Peralta, Jesús Alejandroes_ES
AutorLópez-Valdés, Julio Césares_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
Rango de páginas62-67es_ES
URL relacionadahttps://doi.org/10.1016/j.circir.2016.10.021
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen85es_ES

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