Pneumoperitoneum

Case contributed by Dr Ayush Goel

Presentation

Diffuse abdominal pain

Patient Data

Age: 70 years
Gender: Male
X-ray

Gas under the diaphragm and Rigler sign

Annotated image

X-ray

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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