Pneumoperitoneum (small)

Case contributed by Dr Ian Bickle


Elderly gentleman with abdominal pain. Non-distended abdomen.

Patient Data

Age: 75 years
Gender: Male

Slither of free gas under the right hemidiaphragm.

Lungs clear.

Case Discussion

The erect chest x-ray can identify relatively small volumes of pneumoperitoneum provided the patient is in the erect position for a sufficient time for it to navigate under the diaphragm.

CT abdomen typically follows this finding with a view to identifying the cause prior to a laparotomy.

PlayAdd to Share

Case information

rID: 56460
Case created: 2nd Nov 2017
Last edited: 2nd Nov 2017
Tags: rapids, rdgh
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

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

Alert accept Thank you for updating your details.