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Imaging studies, including chest X-ray and abdominal computed tomography (CT), revealed free gas in the abdominal cavity, leading to the misdiagnosis. However, intraoperation exploration identified no perforation. Postoperative abdominal enhanced CT and multidisciplinary consultation confirmed a splenic abscess. The patient was successfully treated with ultrasound-guided percutaneous drainage and meropenem antibiotic therapy, resulting in complete recovery.<\/jats:p>","DOI":"10.1093\/jscr\/rjag428","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:04:47Z","timestamp":1778760287000},"source":"Crossref","is-referenced-by-count":0,"title":["A case of splenic abscess complicated with intra-abdominal free gas misdiagnosed as gastrointestinal perforation"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6725-4299","authenticated-orcid":false,"given":"Wenlong","family":"Du","sequence":"first","affiliation":[{"name":"Department of Anorectal Surgery, The People's Hospital of Linxia Hui Autonomous Prefecture , Linxia ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"2026062506250178700_ref1","doi-asserted-by":"publisher","first-page":"e130","DOI":"10.1177\/000313482008600309","article-title":"Splenic abscess: characterizing management and outcomes for a rare disease","volume":"86","author":"O'Connor","year":"2020","journal-title":"Am Surg"},{"key":"2026062506250178700_ref2","doi-asserted-by":"publisher","first-page":"107807","DOI":"10.1016\/j.ijscr.2022.107807","article-title":"Splenic abscess secondary to COVID-19 infection - 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