Presentation
Shortness of breath and constipation post radiologically inserted gastrostomy (RIG).
Patient Data
Age: 90 years
Gender: Female
From the case:
Post radiologically inserted gastrostomy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/64448/annotated_viewer_json?lang=us"}
Large pneumoperitoneum with multiple dilated bowel loops and Rigler sign.
The resultant increased intra-abdominal pressure is reducing lung volume and displacing the diaphragm upwards.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/84210/annotated_viewer_json?lang=us"}
Chest x-ray 5 months pre-RIG insertion
Case Discussion
This case demonstrates imaging post-RIG insertion with pneumoperitoneum identified on chest imaging compared with pre-morbid radiographic appearance.