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Continuous diaphragm sign

Case contributed by Brendon Friesen
Diagnosis certain

Patient Data

Age: 30 years
Gender: Female
x-ray

Central sub-diaphragmatic lucency (continuous diaphragm sign) in keeping with pneumoperitoneum.

ct

CT confirms pneumoperitoneum.

Thickened gastric wall and duodenal bulb.

Small volume ascites.

Case Discussion

Continuous diaphragm sign of pneumoperitoneum on chest radiograph.

Perforated duodenal bulbar ulcer on CT.

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