The presence of free air within the peritoneal cavity is known as pneumoperitoneum.In 85% to 90% of cases pneumoperitoneum is due to perforated bowel of various aetiology which includes perforated peptic ulcer, typhoid, trauma, perforated tumour etc.We are reporting is a rare case of pneumoperitoneum resulting from a ruptured liver abscess in a young male with no comorbidity.
A 28 year old male presented to the casualty of RL Jalappa Hospital and Research bostik roll-cote Centre with diffuse pain abdomen.Clinically it was sus-pected as peritonitis secondary to hollow viscus perforation.Erect abdomen X-Ray showed air under dia-phragm.
Exploratory laparotomy was performed.On table it was found to be a case of ruptured liver abscess for which marsupialization and thorough peritoneal lavage was campicon.com given.Culture of the pus from the liver ab-scess revealed Klebsiella sensitive to Piperacillin and Tazobactam, and antibiotic treatment was adminis-tered.
Conclusion: Although pneumoperitoneum resulting from a ruptured liver abscess is rare, it must be kept in mind as a possible source, especially when the hollow organs are normal.Key words: Ruptured abscess, Pneumoperitoneum, Klebsiella, Erect Abdomen X-ray.