Radiology Case 1

  • Priyanka Dube
  • Joshua K. AalbergEmail author


Free air/gas within the peritoneum, also known as pneumoperitoneum, can be a sign of a critical pathology, postoperative complication, trauma, or can arise from iatrogenic causes (Sharma and Jones. Pneumomediastinum. Radiopaedia. Accessed 6 Jun 2018; Sureka et al. J Fam Med Prim Care 4(3):477, 2015). Prompt and accurate diagnosis is life-saving in this population to reduce enteric contamination. Surgical intervention is often indicated.


Upright abdominal radiograph Right hemidiaphragm Pneumoperitoneum Air/microperforations Computerized tomography Pathology 


  1. 1.
    Sharma R, Jones J. Pneumomediastinum. Radiopaedia. Accessed 6 Jun 2018.
  2. 2.
    Sureka B, Bansal K, Arora A. Pneumoperitoneum: what to look for in a radiograph? J Family Med Prim Care. 2015;4(3):477. Scholar
  3. 3.
    Baker SR. Pneumoperitoneum—the radiographic and clinical virtues of the supine abdominal film. Emerg Radiol. 2012;19(6):547–8. Scholar
  4. 4.
    Tanaka R, Kameyama H, Nagahashi M, Kanda T, Ichikawa H, Hanyu T, Wakai T. Conservative treatment of idiopathic spontaneous pneumoperitoneum in a bedridden patient: a case report. Surg Case Rep. 2015;1(1)

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Emergency MedicineWexner Medical Center at The Ohio State UniversityColumbusUSA

Personalised recommendations