Narra Rama Krishna, Jehendran Mary Varunya
Department of Radiodiagnosis, Katuri Medical College, Guntur, Andhra Pradesh, India.
BMJ Case Rep. 2015 Mar 20;2015:bcr2014209055. doi: 10.1136/bcr-2014-209055.
We present a case report of splenic abscess causing pneumoperitoneum in a case of uncontrolled diabetes. The patient presented with chronic pain abdomen and fever which later evolved to acute abdomen during the course of hospital stay. An X-ray showed pneumoperitoneum and exploratory laparotomy was performed under a strong clinical suspicion of hollow viscus perforation. The patient was treated with antibiotics and had an uneventful recovery.
我们报告一例糖尿病控制不佳患者因脾脓肿导致气腹的病例。患者以慢性腹痛和发热就诊，住院期间病情发展为急腹症。X线显示气腹，在高度怀疑中空脏器穿孔的强烈临床怀疑下进行了剖腹探查术。患者接受了抗生素治疗，恢复顺利。
