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Subdiaphragmatic free gas

Case contributed by Kewal Arunkumar Mistry
Diagnosis certain

Presentation

Peritonitis

Patient Data

Age: 62 years
Gender: Male
x-ray

Free gas is seen under both domes of diaphragm.

Note nasogastric tube in situ and unfolding of arch of aorta.

Case Discussion

Patient was taken for emergency laparotomy. Perforated duodenal ulcer was found.

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