The American journal of gastroenterology
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Am. J. Gastroenterol. · Nov 1982
Case ReportsRuptured hepatic abscess: a rare cause of spontaneous pneumoperitoneum.
A 68-yr-old woman who developed an acute abdomen with clinical and radiological evidence of pneumoperitoneum is is described. At surgery, multiple left lobe hepatic abscesses were identified. ⋯ Bacteriological studies revealed Streptococcus faecalis and gas-producing Klebsiella pneumoniae from the abscess cavities. Spontaneous pneumoperitoneum secondary to a ruptured hepatic abscess has to our knowledge never been reported.