Presentation
Presented with severe central chest pain.
Patient Data
Age: 50 years
Gender: Female
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Extensive free gas below the diaphragms. Lungs are clear.
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A large amount of gas is seen under both diaphragmatic domes (yellow dotted lines). In the left upper quadrant gas is also seen in the stomach (red dotted line) and splenic flexure of the colon (blue dotted line).
Case Discussion
This patient did have a CT which demonstrated extensive sigmoid diverticular disease with active inflammation and diverticulitis, accounting for the pneumoperitoneum. Conservative treatment was followed by sigmoidoscopy for direct visualiation.