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
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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.
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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.