Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain


The chief complaint is abdominal pain since yesterday, no history of vomiting or diarrhea, or dysuria Physical exam: abdomen is soft, lax, mild tenderness.

Patient Data

Age: 30 years
Gender: Male

Free gas under the diaphragmatic domes is seen (pneumoperitoneum)

No additional findings are noted.

Case Discussion

An erect abdominal radiograph showed the presence of pneumoperitoneum, this is most likely due to a perforated gastric or duodenal ulcer.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.