Pneumoperitoneum

Case contributed by Dr Maulik S Patel

Presentation

Upper abdominal pain and vomiting - 1 day.

Patient Data

Age: 45 yrs
Gender: Female
Ultrasound

There is free gas anterior to the left lobe of liver and in gastro-hepatic ligament. Free fluid was present in the hepato renal region. 

X-ray

Next study was an abdominal radiograph - erect abdomen - No free gas.

Case Discussion

CT: was done at other centre (not uploaded, no copyright). Pneumoperitoneum present. Site of perforation not visualized.

Surgery: 2.5 cm gastric antrum perforation, covered with omentum.

Histopathology: Changes of chronic ulceration. No malignancy found.

PlayAdd to Share

Case information

rID: 14804
Case created: 29th Aug 2011
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.