Pneumoperitoneum due to perforated duodenal ulcer

Case contributed by Dr Chris O'Donnell

Presentation

Acute epigastric pain with bloating

Patient Data

Age: 35
Gender: Female

Massive free intraperitoneal gas with postive Rigler sign, i.e. gas on either side of the bowel wall seen on the anterior scout view. Note the defect in the duodenal cap posteriorly with gas leaking out (arrow) = site of perforation.

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Case Information

rID: 21587
Case created: 1st Feb 2013
Last edited: 7th Feb 2016
Inclusion in quiz mode: Included

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