{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T03:30:26Z","timestamp":1767929426208,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,27]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Splenic abscess is a rare life-threatening clinical entity. There are only a handful of reported cases of spontaneous splenic abscess rupture with pneumoperitoneum. Rupture of splenic abscess associated with gas-producing pathogens may lead to pneumoperitoneum. We hereby report the case of a ruptured splenic abscess with pneumoperitoneum in a young immunocompetent woman masquerading as hollow viscus perforation peritonitis. Ruptured splenic abscess should be kept in mind for treating surgeons as a differential diagnosis of pneumoperitoneum or peritonitis, particularly for immunocompromised patients.<\/jats:p>","DOI":"10.1136\/bcr-2018-228961","type":"journal-article","created":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T15:05:32Z","timestamp":1557327932000},"page":"e228961","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Non-traumatic ruptured splenic abscess presenting with pneumoperitoneum in an immunocompetent patient: a diagnostic dilemma"],"prefix":"10.1136","volume":"12","author":[{"given":"Nitin","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Surgery and Renal Transplant, Postgraduate Institute of Medical Education and Research (PGIMER) Dr. Ram Manohar Lohia Hospital, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Sharma","sequence":"additional","affiliation":[{"name":"Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5198-8934","authenticated-orcid":false,"given":"Gaurav","family":"Garg","sequence":"additional","affiliation":[{"name":"Urology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,8]]},"reference":[{"key":"2025082713141858000_12.5.e228961.1","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1089\/sur.2012.073","article-title":"Splenectomy for splenic abscess","volume":"14","author":"To","year":"2013","journal-title":"Surg Infect"},{"key":"2025082713141858000_12.5.e228961.2","doi-asserted-by":"publisher","DOI":"10.1159\/000345519"},{"key":"2025082713141858000_12.5.e228961.3","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s10140-013-1103-2","article-title":"Nontraumatic splenic emergencies: cross-sectional imaging findings and triage","volume":"20","author":"Tonolini","year":"2013","journal-title":"Emerg Radiol"},{"key":"2025082713141858000_12.5.e228961.4","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s12262-011-0370-y","article-title":"A retrospective study of 75 cases of splenic abscess","volume":"73","author":"Sreekar","year":"2011","journal-title":"Indian J Surg"},{"key":"2025082713141858000_12.5.e228961.5","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/S1995-7645(12)60191-6","article-title":"Peritonitis secondary to ruptured splenic abscess: a grave complication of typhoid fever","volume":"5","author":"George","year":"2012","journal-title":"Asian Pac J Trop Med"},{"key":"2025082713141858000_12.5.e228961.6","doi-asserted-by":"crossref","first-page":"E474","DOI":"10.1177\/000313481207801114","article-title":"Peritonitis resulting from ruptured splenic abscess after splenic infarction in a patient with polycythemia vera","volume":"78","author":"Tzeng","year":"2012","journal-title":"Am Surg"},{"key":"2025082713141858000_12.5.e228961.7","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.01.2012.5705"},{"key":"2025082713141858000_12.5.e228961.8","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1159\/000339463","article-title":"Ruptured splenic abscess following percutaneous transluminal angioplasty in a 40-year-old man","volume":"6","author":"Rajasekharan","year":"2012","journal-title":"Case Rep Gastroenterol"},{"key":"2025082713141858000_12.5.e228961.9","first-page":"433","article-title":"The role of percutaneous US-guided drainage in the treatment of splenic abscess. 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