Pneumoperitoneum

Case contributed by Dr Maulik S Patel

Presentation

Pain in abdomen - 3 days. Increased significantly for last 12 hrs.

Patient Data

Age: 40 yrs
Gender: Female
Modality: Ultrasound

Free gas was noted superficial to left lobe of liver and in right iliac fossa.  Fluid with tiny floating echoes is present in right iliac fossa. Odematous small bowel loops noted.

Modality: X-ray

Due to pneumoperitoneum on USG, radiograph standing abdomen and Chest were done. Air crescent present under left dome, which was possibly out side stomach.

Case Discussion

Surgically proven case of enteric ( Typhoid ) small bowel perforation.

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Case Information

rID: 17694
Case created: 5th May 2012
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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