Continuous diaphragm sign
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Severe abdominal pain. Perforation?
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The diaphragm is clearly identified from right to left due to subdiaphragmatic gas.
It also outlines the fundus of the stomach.
Normally the central portion of the diaphragm is not discretely visualized on chest radiographs as it merges with the cardiac silhouette. If the diaphragm can be seen continuously across the midline then this is highly suggestive of free gas within the upper abdomen as beautifully illustrated in this case.
This is termed the continuous diaphragm sign and is one of several plain radiograph appearances in pneumoperitoneum.
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- CXR-corepathology by Ian Bickle ◉
- CXR by Clayton McCuiston
- HMC R2 Cardiothoracic Pre/Post-Test by Anne Chen
- Wilhelm by Jeffrey Fillingim
- Long case 1 dummy by Vijaylaxmi .
- FRANZCR 02 Chest by AMIRSALEH JAFARI
- Textbook CXRS by Ian Bickle ◉
- FRANZCR ABDO X-RAY 1 by Babawale S. Niyi
- dash2017 by saad alkasaby
- Casos Residencia Digestivo by Alvaro Zuñiga Gutierrez
- Ulster University with Ian by Ian Bickle ◉
- Med student teaching by Stephen Davitt
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- Dr Maryam by Maryam Sheikh
- misc chest by Kevin Sheng
- GI19 by tuanleminh ◉
- GI20 by tuanleminh ◉
- GI21 by tuanleminh ◉
- rec by Cucoranu Dragos Constantin