Bauman Zachary, Lim John
Department of Surgery, Henry Ford Macomb Hospital - Clinton Township, Royal Oak, MI, USA
Department of Surgery, Henry Ford Macomb Hospital - Clinton Township, Royal Oak, MI, USA.
J Surg Case Rep. 2013 Dec 16;2013(12):rjt111. doi: 10.1093/jscr/rjt111.
We encountered a case of ruptured splenic abscess presenting as peritonitis and pneumoperitoneum. Our patient did not have an underlying neoplasm nor was she immunosuppressed. In our case, splenectomy was the treatment of choice in combination with antibiotics, which proved to be a good outcome for the patient. Work-up for the cause of the abscess was negative, although bacteria predominately found in the oral flora were isolated from the abscess. We strongly encourage that splenic abscess be considered on the differential diagnosis of patients presenting with pneumoperitoneum and peritonitis, although a clinical rarity.
我们遇到一例脾脓肿破裂，表现为腹膜炎和气腹。我们的患者没有潜在肿瘤，也没有免疫抑制。在我们的病例中，脾切除术联合抗生素是首选治疗方法，这对患者来说是一个良好的结果。尽管从脓肿中分离出主要存在于口腔菌群中的细菌，但对脓肿病因的检查结果为阴性。我们强烈建议，对于出现气腹和腹膜炎的患者，尽管临床罕见，但在鉴别诊断时应考虑脾脓肿。
