Post-operative pneumoperitoneum

Case contributed by Dr Derek Smith

Presentation

Right shoulder tip pain and shortness of breath.

Patient Data

Age: 45
Gender: Female
Modality: X-ray

Rim of subdiaphragmatic free gas.

The lungs are clear with normal pulmonary vascularity. No consolidation, collapse or pneumothorax.

Normal cardiomediastinal contour and visualised bony thorax.

Case Discussion

This patient was one day post-operative following a laparoscopic procedure and this free gas was attributed to residual insufflation gas from the operation rather than a perforated viscus.

This appearance is commonly encountered following some abdomino-pelvic operations, usually resolving after a week. If the volume of gas increases though, further investigation is warrented.

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Case Information

rID: 47309
Case created: 11th Aug 2016
Last edited: 11th Aug 2016
Inclusion in quiz mode: Included

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