Pneumoperitoneum

Case contributed by A.Prof Frank Gaillard

Presentation

Presented with severe central chest pain.

Patient Data

Age: 50 years
Gender: Female

CXR

Modality: X-ray

Extensive free gas below the diaphragms. Lungs are clear.

Annotated image

Modality: Annotated image

A large amount of gas is seen under both diaphragmatic domes (yellow dotted lines). In the left upper quadrant gas is also seen in the stomach (red dotted line) and splenic flexure of the colon (blue dotted line). 

Case Discussion

This patient did have a CT which demonstrated extensive sigmoid diverticular disease with active inflammation and diverticulitis, accounting for the pneumoperitoneum.  Conservative treatment was followed by sigmoidoscopy for direct visualiation.

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Case Information

rID: 17957
Case created: 28th May 2012
Last edited: 12th Mar 2016
System: Chest
Tag: cxr
Inclusion in quiz mode: Included

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