Case contributed by Ayush Goel


Diffuse abdominal pain

Patient Data

Age: 70 years
Gender: Male

Gas under the diaphragm and Rigler sign.

Annotated image


Red: gas under the diaphragm

Yellow: Rigler sign

Case Discussion

Chest x-ray PA view (erect) shows gas under the diaphragm and Rigler sign.

Surgical follow up: perforated duodenal ulcer.

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