pneumoperitonitis

Comment

Comment by mohamad mirchi on September 10, 2009 at 10:59am

that is the all about this case! thanks for comment dear wael

Comment by Wael Nemattalla on September 1, 2009 at 6:06am

Thanks for this case.
Massive - Football sign
An upright chest x-ray can detect as little as 1 ml of air injected into the peritoneal cavity under the diaphragm.
Sub-diaphragmatic air
A cross-table lateral x-ray with the patient in the left lateral position (left lateral decubitus view) can detect 5-10 ml of gas under the lateral abdominal wall.
In a supine film, air may be seen in the sub-hepatic region.
A supine film can show a large air collection beneath the abdominal wall that doesn't conform to any bowel loop.
Free air can be seen under the central tendon of the diaphragm.
Falciform ligament can be visualized.
(Rigler's sign).: Both walls of the bowel (Double wall sign) seen due to air within and outside the bowel.
Massive air gives rise to a "Football' sign.