A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis
Spontaneous bacterial peritonitis is a known complication of patients with decompensated cirrhosis and ascites. It is differentiated from secondary bacterial peritonitis by the absence of an intraabdominal source of infection. We present a 56-year-old man with alcoholic cirrhosis who underwent multi...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2022/5951115 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849693471859802112 |
|---|---|
| author | Saeed Ali Abdullah Sohail Kyle Brown |
| author_facet | Saeed Ali Abdullah Sohail Kyle Brown |
| author_sort | Saeed Ali |
| collection | DOAJ |
| description | Spontaneous bacterial peritonitis is a known complication of patients with decompensated cirrhosis and ascites. It is differentiated from secondary bacterial peritonitis by the absence of an intraabdominal source of infection. We present a 56-year-old man with alcoholic cirrhosis who underwent multiple paracenteses that yielded fluid with progressively increasing neutrophil counts and several different organisms, recurring despite numerous treatments for SBP. Eventually, a computed tomography (CT) of the abdomen and the pelvis revealed a large intraabdominal abscess (22 × 13 cm) treated with an ultrasound-guided drain and IV antibiotics. Recurrent episodes of SBP despite appropriate antibiotics should raise suspicion for secondary bacterial peritonitis. It is crucial to differentiate SBP from secondary bacterial peritonitis as the mortality of the latter is much higher without prompt treatment. Appropriate antibiotic regimens, prompt surgical treatment, and postoperative care are crucial to improving clinical outcomes in these patients. |
| format | Article |
| id | doaj-art-30342675cff94a24b299fe7f222995d4 |
| institution | DOAJ |
| issn | 2090-6595 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hepatology |
| spelling | doaj-art-30342675cff94a24b299fe7f222995d42025-08-20T03:20:24ZengWileyCase Reports in Hepatology2090-65952022-01-01202210.1155/2022/5951115A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial PeritonitisSaeed Ali0Abdullah Sohail1Kyle Brown2Division of Gastroenterology & HepatologyDepartment of Internal MedicineDepartment of Internal MedicineSpontaneous bacterial peritonitis is a known complication of patients with decompensated cirrhosis and ascites. It is differentiated from secondary bacterial peritonitis by the absence of an intraabdominal source of infection. We present a 56-year-old man with alcoholic cirrhosis who underwent multiple paracenteses that yielded fluid with progressively increasing neutrophil counts and several different organisms, recurring despite numerous treatments for SBP. Eventually, a computed tomography (CT) of the abdomen and the pelvis revealed a large intraabdominal abscess (22 × 13 cm) treated with an ultrasound-guided drain and IV antibiotics. Recurrent episodes of SBP despite appropriate antibiotics should raise suspicion for secondary bacterial peritonitis. It is crucial to differentiate SBP from secondary bacterial peritonitis as the mortality of the latter is much higher without prompt treatment. Appropriate antibiotic regimens, prompt surgical treatment, and postoperative care are crucial to improving clinical outcomes in these patients.http://dx.doi.org/10.1155/2022/5951115 |
| spellingShingle | Saeed Ali Abdullah Sohail Kyle Brown A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis Case Reports in Hepatology |
| title | A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis |
| title_full | A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis |
| title_fullStr | A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis |
| title_full_unstemmed | A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis |
| title_short | A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis |
| title_sort | case of a large intraabdominal abscess in a patient with cirrhosis misdiagnosed as spontaneous bacterial peritonitis |
| url | http://dx.doi.org/10.1155/2022/5951115 |
| work_keys_str_mv | AT saeedali acaseofalargeintraabdominalabscessinapatientwithcirrhosismisdiagnosedasspontaneousbacterialperitonitis AT abdullahsohail acaseofalargeintraabdominalabscessinapatientwithcirrhosismisdiagnosedasspontaneousbacterialperitonitis AT kylebrown acaseofalargeintraabdominalabscessinapatientwithcirrhosismisdiagnosedasspontaneousbacterialperitonitis AT saeedali caseofalargeintraabdominalabscessinapatientwithcirrhosismisdiagnosedasspontaneousbacterialperitonitis AT abdullahsohail caseofalargeintraabdominalabscessinapatientwithcirrhosismisdiagnosedasspontaneousbacterialperitonitis AT kylebrown caseofalargeintraabdominalabscessinapatientwithcirrhosismisdiagnosedasspontaneousbacterialperitonitis |