Pneumoperitoneum - football sign

Case contributed by Bahman Rasuli


History of jejunal atresia and repair one week after delivery.

Patient Data

Age: 2 months
Gender: Male

Large pneumoperitoneum extending over the whole abdomen.

Case Discussion

The football sign is seen in cases of massive pneumoperitoneum, where the abdominal cavity is outlined by gas from a perforated viscus. Which football is used as the model ball varies according to the nationality of the author. Rugby, Australian rules, and American football all have balls that fit the bill. Soccer is clearly not appropriate.

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