A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis

Saeed Ali; Abdullah Sohail; Kyle Brown

doi:10.1155/2022/5951115

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A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis

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A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis

Saeed Ali, Abdullah Sohail and Kyle Brown

Case reports in hepatology, Vol.2022, pp.1-4

10/05/2022

DOI: 10.1155/2022/5951115

PMCID: PMC9556249

PMID: 36246017

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Abstract

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.

Case Report

Details

Title: Subtitle: A Case of a Large Intraabdominal Abscess in a Patient with Cirrhosis Misdiagnosed as Spontaneous Bacterial Peritonitis
Creators: Saeed Ali - Division of Gastroenterology & Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, USA Department of Internal Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, USA
Abdullah Sohail - University of Iowa, Internal Medicine
Kyle Brown - University of Iowa, Gastroenterology and Hepatology
Resource Type: Journal article
Publication Details: Case reports in hepatology, Vol.2022, pp.1-4
DOI: 10.1155/2022/5951115
PMID: 36246017
PMCID: PMC9556249
NLM abbreviation: Case Reports Hepatol
ISSN: 2090-6587
eISSN: 2090-6595
Publisher: Hindawi
Language: English
Date published: 10/05/2022
Academic Unit: Gastroenterology and Hepatology; Radiation Oncology; Internal Medicine
Record Identifier: 9984460855402771

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