Presentation
Acute abdominal pain
Patient Data
Age: 25 years
Gender: Female
From the case:
Leaping dolphin sign
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Erect CXR demonstrating a moderate to large volume of pneumoperitoneum consistent with the leaping dolphin sign in the left upper quadrant.
Case Discussion
Collection of intraperitoneal moderate to large volume of free air beneath the arcuate slips of diaphragm mimics the parallel arcs of dolphins leaping in tandem. This sign is more often found in the right upper quadrant but occasionally can be seen on the left side.
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