Bowel perforation

Case contributed by Dr Maulik S Patel

Presentation

Fever for 3-4 days. Abdominal pain for 1 day. Increased for few hours.

Patient Data

Age: 15-20 years old
Gender: Female

Lab studies indicated typhoid fever.

Modality: Ultrasound

There is free fluid in pelvis and right iliac fossa with tiny mobile echoes within.

Left  lobe of liver in supine position: there is increased echogenicity of the peritoneal stripe with reflection artifact involving the peritoneal stripe, compatible with pneumoperitoneum. 

Case Discussion

Free intra-peritoneal air suggests perforation of hollow viscus.

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Case Information

rID: 44642
Case created: 30th Apr 2016
Last edited: 30th Apr 2016
Inclusion in quiz mode: Included

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