Small pneumoperitoneum

Case contributed by Dr Ian Bickle

Presentation

Short history of upper abdominal discomfort.

Patient Data

Age: 25 years
Gender: Female
X-ray

Slither of free gas beneath the right hemidiaphragm.

Heart size normal.  Lungs clear.

Case Discussion

Always check beneath the diaphragm as a review area on a plain chest radiograph.

This is a pretty small one and could easily be overlooked.

A film worthy of a rapid reporting exam.

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