Case contributed by Dr Bruno Di Muzio


Known history of advanced colorectal carcinoma presenting at the emergency department with distended and painful abdomen.

Patient Data

Age: 77
Gender: Female

CT Abdomen

Selected axial CT image using lung window shows the presence of free intra-abdominal air better.

Case Discussion

This patient had an intestinal perforation due to the advanced neoplastic disease. Unfortunately he died one day after the presentation. 

Pneumoperitoneum is gas within the peritoneal cavity, and often is the harbinger of a critical illness.

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Case information

rID: 19130
Case created: 8th Aug 2012
Last edited: 4th Oct 2017
Inclusion in quiz mode: Included

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