Pneumoperitoneum Resulting from a Ruptured Pyogenic Liver Abscess: A Case Report

Pneumoperitoneum resulting from a ruptures Pyogenic liver abscess: A case report

Abstract

Pneumoperitoneum represents the perforation of intraperitoneal hollow organs in most cases. Pneumoperitoneum resulting from a ruptured pyogenic liver abscess is rare. Herein, we reported a case of pneumoperitoneum resulting from a ruptured pyogenic liver abscess in a 68 year old male with diabetes. On x-ray abdomen standing and ultrasonography of abdomen, we diagnosed a liver abscess with peptic perforation but only on exploration we found that pneumoperitoneum was only due to ruptured liver abscess in segment VII of liver without any hollow viscus perforation. From this case, we concluded that though Pneumoperitoneum resulting from a ruptured liver abscess is rare, we must keep it in mind especially when all hollow viscus inside the abdomen are normal.