Perforated Duodenal Diverticulum with Subtle Pneumoretroperitoneum on Abdominal X-Ray.
Case Rep Emerg Med 2017;
2017:7089573. [PMID:
29201469 PMCID:
PMC5671692 DOI:
10.1155/2017/7089573]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 08/25/2017] [Accepted: 09/17/2017] [Indexed: 11/17/2022] Open
Abstract
Abdominal pain is one of the most common presenting complaints at the Emergency Department (ED). Given the myriad of possible differential diagnoses for abdominal pain, it becomes more important to diagnose conditions requiring emergent surgical intervention early. We present a case of an elderly male patient with abdominal pain secondary to perforated hollow viscus, subtle evidence of pneumoretroperitoneum on the initial supine abdominal X-ray, and review the signs of pneumoperitoneum and pneumoretroperitoneum on plain abdominal X-rays.
Collapse