Ruptured splenic abscess: A cause of pneumoperitoneum in a patient with AIDS

Kousei Ishigami, Gerald T. Decker, Jody A. Bolton-Smith, Isaac Samuel, Scott R. Wilson, Bruce P. Brown

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


We encountered a case of pneumoperitoneum caused by a gas-forming splenic abscess in a patient with acquired immunodeficiency syndrome (AIDS). Plain abdominal films and computed tomography demonstrated a large amount of free air. Pneumoperitoneum was eventually shown to represent gas liberated from fermentation by gas-forming organisms within the splenic abscess. Gas-containing necrotic tissue from the ruptured spleen mimicked the spillage of feces from colon perforation. The authors emphasize that a ruptured abscess should be included in the differential diagnosis of acute abdomen in an immunocompromised patient.

Original languageEnglish
Pages (from-to)163-165
Number of pages3
JournalEmergency Radiology
Issue number3
Publication statusPublished - Dec 2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging


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