Pneumoperitoneum

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Abdominal pain. Referred for Ultrasound

Patient Data

Age: 80 years
Gender: Female
ultrasound

Free gas is noted anterior to left lobe of liver in supine position. On compression, left lobe is visualized.

x-ray

Free gas under domes is present consistent with pneumoperitoneum.

Note of hiatus hernia.

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