Pneumoperitoneum - child

Case contributed by Dr Jeremy Jones

Presentation

Abdominal pain and distension.

Patient Data

Age: 7 years
Gender: Female
X-ray

.

Annotated image

Rigler's sign: Green arrows = luminal surface; white arrows = peritoneal surface

Case Discussion

Pneumoperitoneum with Rigler sign (annotated image). Cecal perforation was confirmed operatively. 

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