Bowel perforation - pneumoperitoneum

Discussion:

The patient was brought unconscious with severe abdominal pain. Given that the patient wasn't suitable for a conventional erect chest x-ray, the alternative was a left lateral decubitus shoot through. The patient is positioned left lateral decubitus for approximately 10 minutes, to allow intraperitoneal air in the lesser sac to pass through the foramen of Winslow into the greater sac and accumulate between the lateral liver and abdominal wall margins.

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