Case contributed by Dr Varun Babu


Acute onset abdominal pain

Patient Data

Age: 45
Gender: Male

Erect chest radiograph

Free air underneath the right diaphragm. There is also air underneath the central tendon of the diaphragm, which is similar to the cupola sign (seen on a supine radiograph).

Penumoperitoneum can be an ominous sign, in this case it was due to bowel infarction and perforation

Case Discussion


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Case information

rID: 19474
Published: 13th Sep 2012
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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