Pneumoperitoneum

Case contributed by Dr Bruno Di Muzio

Presentation

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

Patient Data

Age: 80 years
Gender: Female
CT

CT Abdomen (selected image)

Selected axial CT image using lung window shows the presence of free intra-abdominal gas that fills up an umbilical hernia. 

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 indication of a critical illness.

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Case information

rID: 19130
Published: 8th Aug 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Excluded

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