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Pneumoperitoneum
CT
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Treatment
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0:41
YouTube
Dr. Lucas, DO
Pneumoperitoneum on X-Ray: Don’t Miss This
See this crescent of air under the diaphragm? That’s pneumoperitoneum. That means perforated bowel until proven otherwise. In this quick breakdown I explain: • Why free air rises under the diaphragm • How to recognize it instantly on X-ray • Why this patient goes straight to surgery This is pure board exam gold.
1.4K views
5 months ago
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Pneumoperitoneum refers to gas in the peritoneal cavity outside of the hollow viscera. In over 90% of the cases, it arises from a bowel perforation. On an upright chest x-ray, the free air usually rises to the highest point, which is above the liver below the right hemidiaphragm. When free air is observed on a radiograph, surgery should be consulted immediately. In most cases, the patient should not have any additional imaging and go straight to the operating room. #EmergencyMedicine #rrt #respi
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