Bowel perforation? Pretty convincing

Author: Nadiah Parry / Editor: Jason M Kendall / Reviewer: Hamza Shaikh / Codes: A3, CC1 / Published: 19/12/2020

A 57-year-old lady was brought into the Emergency Department by ambulance with a presentation of abdominal pain. She had been complaining of colicky abdominal pain for five days. On examination she was haemodynamically stable, apyrexial, had some minor scattered bilateral crepitations on chest auscultation and some diffuse minimal abdominal tenderness but no guarding. Her bowel sounds were normal.

Amongst other investigations a chest radiograph was performed and, to further clarify the radiological findings, a subsequent lateral decubitus radiograph was taken.

The erect and lateral decubitus chest radiographs are shown here:



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