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  • Title: Liver metastasis presenting as pneumoperitoneum.
    Author: Fondran J, Williams GB.
    Journal: South Med J; 2005 Feb; 98(2):248-9. PubMed ID: 15759962.
    Abstract:
    A 63-year-old man presented to the emergency department with sudden-onset abdominal pain. Chest radiography demonstrated pneumoperitoneum. At surgery, the source was found to be a ruptured hepatic abscess. Cultures grew Clostridium perfringens, and biopsies confirmed metastasis of a previously resected pancreatic cancer. We document this rare cause of pneumoperitoneum and briefly review the literature on liver abscess as it relates to metastatic cancer.
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