Presentation
Diffuse abdominal pain
Patient Data
Age: 70 years
Gender: Male
From the case:
Pneumoperitoneum
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Gas under the diaphragm and Rigler sign.
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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.