Presentation
Abdominal pain and distension. Significant abdominal trauma 2 years earlier.
Patient Data
Age: 55 years
Gender: Female
From the case:
Rigler sign - bowel
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Great example of Rigler sign of free intra-abdominal gas outlining distended small bowel loops. Multiple surgical clips are noted in keeping with the history of prior laparotomy for traumatic mesenteric injury.
Case Discussion
This patient went to theater where an adhesive small bowel obstruction was found with a perforation just proximal to the adhesion.