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Pneumoperitoneum

Case contributed by Michael Sargent
Diagnosis certain

Patient Data

Age: 4 days
Gender: Female
x-ray

Massive pneumoperitoneum.

Case Discussion

AP supine and lateral shoot-through films demonstrate a massive pneumoperitoneum, distending the abdomen and outlining the falciform and umbilical ligaments (football sign).

An ileal perforation was proven at surgery. 

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