Bowel infarction and perforation
Abdominal pain and vomiting. Generalised abdominal tenderness. Involuntary guarding.
Loading Stack -
0 images remaining
Distended, gas-filled loops of small bowel. Extensive intramural gas and free gas (Rigler's sign).
Initial plain AXR revealed some small bowel distension but the cause was not identified on contrast enhanced CT.
Her clinical course did not improve and she became septic. Subsequent AXR (show here) had multiple findings:
- Free intraperitoneal gas
- Rigler's sign: confirming the intraperitoneal gas
- Intra luminal gas (suggesting infarction)
Subsequent abdominal CT confirmed the above findings and also demonstrated gas in the portal veins within the liver subsequent to bowel infarction.
5 article feature images from this case
26 public playlist includes this case
- Intern Education - Abdo
- Abdo - My EDIC Practice
- abdomen- Dr ferreiro
- Aula 2 - Abdome
- Abdominal radiograph
- Key Conditions Abdomen
- 1.2.3. Viva
- AH Mixed Films 2016
- QRTN Key conditions exam with answers
- 2B - GI
- 2018 Trauma and Acute Imaging - What not to miss: AXR
- abdo viva 2
- H - practice 2017: abdo
- Viva JP
- QRTN Key conditions exam
- FRANZCR ABDO X-RAY 1
- FRCR cases
- FFR RCSI