From the case: Pneumoperitoneum


Erect AP abdominal radiograph

key image showing...
key image showing the localized double bowel wall (Rigler) sign where bowel loops lie adjacent to free extraluminal air
Modality: X-ray (Frontal)

- “ The findings are in line with pneumoperitoneum caused by bowel perforation, consequent adynamic ileus and buildup of free fluid. The patient was a...”

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