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Scandinavian Journal of Infectious Diseases Volume 37, 2005 - Issue 1
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Case Report

Usefulness of abdominal CT scan in severe peritoneal sepsis linked to primary peritonitis

François Gilles Brivet From the Medical Intensive Care Unit, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, FranceCorrespondence[email protected], [email protected]
,
Claude Smadja Department of Surgery, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France
,
Ulrich Hilbert Surgical Intensive Care Unit, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France
,
Corinne Vons Department of Surgery, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France
,
Frederic Jacobs From the Medical Intensive Care Unit, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France
,
Haleh Gordji-Therani Department of Radiology, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France
&
Dominique Musset Department of Radiology, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris and Université Paris XI, France
 show all
Pages 76-78 | Received 10 Sep 2004, Accepted 24 Sep 2004, Published online: 08 Jul 2009
 
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Abstract

We report 2 cases of primary group A streptococcal peritonitis in which emergency abdominal CT scan ruled out a hollow viscus perforation, or necrosis, avoiding unnecessary laparotomy. These cases highlight the usefulness of abdominal CT scan and suggest that blind surgical exploration has no advantages.

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Related Research Data

Streptococcus pneumoniae primary peritonitis mimicking acute appendicitis in an immunocompetent patient: a case report and review of the literature
Source: Springer Science and Business Media LLC

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