Case contributed by Dr Hidayatullah Hamidi


Excessive crying and abdominal distension.

Patient Data

Age: 6 months
Gender: Male

Massive pneumoperitoneum is evident by the excessive free gas in the abdominal cavity, including the bilateral subphrenic spaces and surrounding the edges of the liver (hepatic edge sign). Bowel ​​double wall sign (or Rigler sign) is well-demonstrated.

Some of the bowel loops are significantly dilated. Gas-fluid levels are seen in the dilated lower abdominal loops. No rectal gas is seen.

Case Discussion

The features are most likely due to intestinal obstruction with bowel perforation.

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Case information

rID: 60388
Published: 21st May 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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