EURORAD ESR

Case 10239

Liver gas gangrene with spontaneous pneumoperitoneum caused by clostridium perfringens

Author(s)
Romeu Vilar D, Otero Palleiro M, Méndez Díaz C

Complejo Hospitalario Universitario A Coruña; Xubias de Arriba, 84 15006 A Coruña, Spain; Email:doc_romeu@yahoo.com
 
Patient
male, 80 year(s)
 
 
  • Figure 1
    Abdominal contrast-enhanced CT

    Wedge-shaped area of high attenuation in the right hepatic lobe (arrows), air-fluid levels in the perihepatic peritoneal cavity (arrowheads) and aortic atherosclerosis.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Abscess delineation; Special Focus: Abscess;
     
     
  • Figure 2
    Abdominal contrast-enhanced CT

    Large gas-filled cavity (asterisk) without fluid in the right hepatic lobe, high attenuation area due to increased perfusion around the abscess, pneumoperitoneum (arrowhead) and pneumobilia (arrows). An incidental...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Abscess delineation; Special Focus: Abscess;
     
     
  • Figure 3
    Abdominal contrast-enhanced CT image with a lung window setting

    Extensive replacement of the hepatic parenchyma with interstitial gas (large arrows) without fluid, pneumoperitoneum (arrowhead) and pneumobilia (small arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Abscess delineation; Special Focus: Abscess;
     
     
Wedge-shaped area of high attenuation in the right hepatic lobe (arrows), air-fluid levels in the perihepatic peritoneal cavity (arrowheads) and aortic atherosclerosis.
 
Large gas-filled cavity (asterisk) without fluid in the right hepatic lobe, high attenuation area due to increased perfusion around the abscess, pneumoperitoneum (arrowhead) and pneumobilia (arrows). An incidental right adrenal adenoma also can be seen.
 
Extensive replacement of the hepatic parenchyma with interstitial gas (large arrows) without fluid, pneumoperitoneum (arrowhead) and pneumobilia (small arrows).
 
 
 
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