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Pneumoperitoneum

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Many injuries can result from water skiing accidents, but the water skiing "douche" is unique to this sport. Although generally causing only discomfort, significant trauma can result from the forceful entry of water into the various body
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is a rare case that is not caused by an abdominal organ rupture. This is also called an idiopathic spontaneous pneumoperitoneum when the cause is not known. Causes of a spontaneous pneumoperitoneum, with no
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Spontaneous pneumoperitoneum is a rare case that is not caused by an abdominal organ rupture. This is also called an idiopathic spontaneous pneumoperitoneum when the cause is not known.
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Double wall sign. This is a secondary sign of pneumoperitoneum. Patient is supine, and air within the abdomen and lumen of the bowel accentuate both sides of the bowel wall.
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is nowadays regarded as a criterion standard in the assessment of a pneumoperitoneum. CT can visualize quantities as small as 5 cm of air or gas.
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In the mid-twentieth century, an "artificial" pneumoperitoneum was sometimes intentionally administered as a treatment for a
1782: 1522: 2083: 1490: 147:– The most common cause of rupture in the abdomen. Especially of the anterior aspect of the first part of the duodenum. 782:
Brandt LJ, Boley SJ (May 2000). "AGA technical review on intestinal ischemia. American Gastrointestinal Association".
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Marian K, Monika K, Bartosz K (March 2015). "Spontaneous pneumoperitoneum in a patient after ventilation therapy".
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Gutkin Z, Iellin A, Meged S, Sorkine P, Geller E (July 1992). "Spontaneous pneumoperitoneum without peritonitis".
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Higgins PD, Davis KJ, Laine L (April 2004). "Systematic review: the epidemiology of ischaemic colitis".
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de Lacey G, Bloomberg T, Wignall BK (July 1977). "Pneumoperitoneum: the misleading double wall sign".
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causing pneumoperitoneum. It is also seen in bowel obstruction with secondary perforation, as in
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Non-invasive PAP (positive airway pressure) can force air down duodenum as well as down trachea.
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at the base of the lungs can simulate free air under the diaphragm on a chest X-ray.
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on a supine projectional radiograph. The football sign is most frequently seen in
130:. The practice is currently used by surgical teams in order to aid in performing 77: 2725: 2655: 2521: 2456: 2421: 2292: 2157: 2093: 1995: 1914: 1905: 1855: 1795: 1680: 1657: 1435: 239: 93: 85: 1008: 31: 2762: 2677: 2231: 2204: 2069: 2004: 2000: 1890: 1860: 1446: 1316: 662: 365: 232: 144: 127: 1405: 1243: 1095: 2786: 2695: 2648: 2441: 2384: 2367: 2279: 2024: 1851: 1726: 1692: 1637: 1283: 879: 599:"diverticulum | Definition of diverticulum in English by Lexico Dictionaries" 493: 372:. Iatrogenic causes like endoscopic perforation may also give football sign. 293: 123: 44: 1130: 2570: 2482: 2355: 2258: 2209: 2194: 2189: 2185: 2098: 1923: 1839: 1731: 1721: 1687: 1363: 1302: 1251: 1148: 1026: 977: 897: 864:"Pneumoperitoneum in peritoneal dialysis patients; one centre's experience" 844: 803: 760: 379:
is seen when air is accumulated under the central tendon of the diaphragm.
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Ultrasound finding of pneumoperitoneum known as "peritoneal stripe sign"
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Pneumoperitoneum seen on X-ray with the patient lying on his left side.
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Signs that can be seen on projectional radiography are shown below:
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Kizer KW (May 1980). "Medical hazards of the water skiing douche".
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Pneumoperitoneum can be described as peritoneal emphysema, just as
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Abnormal presence of gases in the peritoneal cavity of the abdomen
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Khan AN, Chandramohan M (2017-12-06). Coombs BD, Gay SD (eds.).
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Cawich SO, Johnson PB, Williams E, Naraynsingh V (25 Sep 2013).
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Jacobs VR, Mundhenke C, Maass N, Hilpert F, Jonat W (Oct 2000).
2628: 2246: 2132: 1400: 350: 2078: 1808: 993:"Non-surgical pneumoperitoneum after oro-genital intercourse" 105: 101: 952:"Sexual activity as cause for non-surgical pneumoperitoneum" 949: 1512: 1161: 1066: 1199:"El signo de Leo Rigler: doble pared en neumoperitoneo" 126:. This was achieved by insufflating the abdomen with 1267:"Pneumoperitoneum: What to look for in a radiograph?" 1039: 817:
American Gastroenterological Association (May 2000).
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Head, Face, and Neck Trauma: Comprehensive Management
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When present, pneumoperitoneum can often be seen on
1341: 1040:Pfister J, Riedtmann-Klee HJ (September 1993). "". 284:, and a tracheal rupture following an emergency 1264: 728: 629:"Principles of ballistics and penetrating trauma" 463:Treatment depends on the cause of the condition. 292:In the tracheal rupture air had passed along the 47:(on the left of the image) is a pneumoperitoneum. 2784: 1093: 861: 689:Bugs, Drugs and Things That Go Bump in the Night 447:, bowel interposed between diaphragm and liver ( 322:marks the presence of air on both sides of the 262: 80:(abnormal presence of air or other gas) in the 1230:Rampton JW (April 2004). "The football sign". 1498: 1335: 997:International Journal of Surgery Case Reports 855: 1604:Esophagogastric junction outflow obstruction 1223: 1196: 341:is when the abdomen appears as a large oval 1271:Journal of Family Medicine and Primary Care 1112: 781: 1643:Esophageal intramural pseudodiverticulosis 1505: 1491: 1115:"Small bowel obstruction in a young adult" 731:Alimentary Pharmacology & Therapeutics 308:, but small amounts are often missed, and 62: 30: 1292: 1282: 1214: 1138: 1016: 967: 887: 862:Imran M, Bhat R, Anijeet H (April 2011). 834: 750: 475:can be called mediastinal emphysema, but 438: 238:Vaginal insufflation (air enters via the 391:Another pneumoperitoneum on chest X-ray. 92:. The most common cause is a perforated 1229: 626: 2785: 2627: 1871:Small intestinal bacterial overgrowth 1486: 910: 1265:Sureka B, Bansal K, Arora A (2015). 667:The Lecturio Medical Concept Library 578:The Lecturio Medical Concept Library 553:The Lecturio Medical Concept Library 528:The Lecturio Medical Concept Library 1317:"UOTW #68 - Ultrasound of the Week" 104:may perforate from a benign ulcer, 13: 116:seldom causes a pneumoperitoneum. 14: 2809: 2756:Spontaneous bacterial peritonitis 2603:Exocrine pancreatic insufficiency 1374: 1113:Harkin DW, Blake G (March 1999). 710:from the original on July 5, 2014 251:From chest (e.g., bronchopleural 43:. The air bubble below the right 2501:Secondary sclerosing cholangitis 743:10.1111/j.1365-2036.2004.01903.x 420: 408: 396: 384: 1742:Gastric antral vascular ectasia 1737:Portal hypertensive gastropathy 1614:Gastroesophageal reflux disease 1309: 1258: 1216:10.4067/S0717-93082009000300008 1190: 1155: 1106: 1087: 1060: 1033: 984: 943: 904: 810: 775: 700:"Colon Cancer Treatment (PDQ®)" 242:; e.g., water-skiing, oral sex) 2496:Primary sclerosing cholangitis 2346:Hepatic veno-occlusive disease 2168:Solitary rectal ulcer syndrome 722: 692: 680: 655: 620: 591: 566: 541: 516: 466: 96:, generally from a perforated 1: 2553:Sphincter of Oddi dysfunction 1203:Revista chilena de radiologĂ­a 1176:10.1016/s0009-9260(77)80161-x 925:10.1016/s0196-0644(80)80387-8 836:10.1016/S0016-5085(00)70182-X 796:10.1016/S0016-5085(00)70183-1 603:Lexico Dictionaries | English 509: 443:As differential diagnoses, a 2462:Postcholecystectomy syndrome 1981:Intestinal pseudoobstruction 1589:Esophageal motility disorder 1344:Polski Przeglad Chirurgiczny 1119:Postgraduate Medical Journal 913:Annals of Emergency Medicine 458: 299: 269:spontaneous pneumoperitoneum 263:Spontaneous pneumoperitoneum 7: 1197:Hirsch M, CortĂ©s C (2009). 1009:10.1016/j.ijscr.2013.08.022 635:. Thieme. pp. 188–94. 482: 100:, although any part of the 10: 2814: 2447:Gallstone / Cholelithiasis 1971:Functional colonic disease 1767:Zollinger–Ellison syndrome 1096:"Pneumoperitoneum Imaging" 174:inflammatory bowel disease 2741: 2620: 2561: 2475: 2432: 2278: 2269: 2222: 2176: 2131: 2017: 1904: 1794: 1781: 1656: 1648:Acute esophageal necrosis 1530: 1521: 1456: 1382: 1244:10.1148/radiol.2311011290 1042:Helvetica Chirurgica Acta 687:Necrotizing Enterocolitis 574:"Small Bowel Obstruction" 549:"Large Bowel Obstruction" 184:Necrotising enterocolitis 137: 51: 38: 29: 24: 1747:Gastric dumping syndrome 1622:Laryngopharyngeal reflux 1609:Diffuse esophageal spasm 1284:10.4103/2249-4863.161369 330:. It is not the same as 306:projectional radiography 2363:Alcoholic liver disease 1896:Bile acid malabsorption 1840:Peptic (duodenal) ulcer 1131:10.1136/pgmj.75.881.173 631:. In Stewart MG (ed.). 2373:Hepatic encephalopathy 1757:Buried bumper syndrome 1688:Peptic (gastric) ulcer 1572:Mallory–Weiss syndrome 1515:human digestive system 1321:Ultrasound of the Week 880:10.1093/ndtplus/sfq208 524:"Peptic Ulcer Disease" 439:Differential diagnosis 282:mechanical ventilation 245:Colonic or peritoneal 2598:Pancreatic pseudocyst 2467:Porcelain gallbladder 1579:Zenker's diverticulum 1356:10.1515/pjs-2015-0008 1069:International Surgery 499:Pneumoretroperitoneum 2798:Peritoneum disorders 2402:Hepatorenal syndrome 2341:Budd–Chiari syndrome 2298:Autoimmune hepatitis 2123:Intestinal adhesions 1881:Short bowel syndrome 1710:Functional dyspepsia 1628:Esophageal stricture 1594:Nutcracker esophagus 353:with spontaneous or 218:surgical anastomosis 132:laparoscopic surgery 2793:Disorders of fascia 2541:Choledocholithiasis 2412:Metabolic disorders 2378:Acute liver failure 2351:Portal hypertension 2303:Alcoholic hepatitis 2146:Radiation proctitis 2065:Mesenteric ischemia 2037:Gastroenterocolitis 1866:Blind loop syndrome 1676:MĂ©nĂ©trier's disease 1584:Barrett's esophagus 1100:Emedicine, Medscape 627:Stewart MG (2005). 479:is the usual name. 449:Chilaiditi syndrome 364:, midgut volvulus, 362:Hirschprung disease 358:gastric perforation 229:Peritoneal dialysis 222:Bowel injury after 2716:Undefined location 2707:Grynfeltt–Lesshaft 2608:Pancreatic fistula 2591:Pancreatic abscess 2546:Biliary dyskinesia 2517:Mirizzi's syndrome 2018:Large and/or small 1698:Dieulafoy's lesion 1567:Boerhaave syndrome 1457:External resources 1164:Clinical Radiology 445:subphrenic abscess 370:intestinal atresia 345:reminiscent of an 168:Penetrating trauma 2780: 2779: 2776: 2775: 2616: 2615: 2218: 2217: 2075:Bowel obstruction 1777: 1776: 1480: 1479: 473:pneumomediastinum 428: 347:American football 328:Leo George Rigler 186:/pneumatosis coli 157:Bowel obstruction 82:peritoneal cavity 71: 70: 19:Medical condition 2805: 2768:Pneumoperitoneum 2625: 2624: 2535:Common bile duct 2417:Wilson's disease 2407:Peliosis hepatis 2276: 2275: 2153:Proctalgia fugax 2060:Abdominal angina 1985:Ogilvie syndrome 1934:Pseudomembranous 1792: 1791: 1752:Gastric volvulus 1717:Pyloric stenosis 1528: 1527: 1513:Diseases of the 1507: 1500: 1493: 1484: 1483: 1380: 1379: 1368: 1367: 1339: 1333: 1332: 1330: 1328: 1313: 1307: 1306: 1296: 1286: 1262: 1256: 1255: 1227: 1221: 1220: 1218: 1194: 1188: 1187: 1159: 1153: 1152: 1142: 1110: 1104: 1103: 1091: 1085: 1084: 1064: 1058: 1057: 1037: 1031: 1030: 1020: 988: 982: 981: 971: 947: 941: 940: 908: 902: 901: 891: 859: 853: 852: 847:. Archived from 838: 823:Gastroenterology 814: 808: 807: 784:Gastroenterology 779: 773: 772: 754: 726: 720: 719: 717: 715: 706:. May 12, 2014. 696: 690: 684: 678: 677: 675: 673: 659: 653: 652: 650: 649: 624: 618: 617: 615: 614: 609:on July 17, 2019 605:. Archived from 595: 589: 588: 586: 584: 570: 564: 563: 561: 559: 545: 539: 538: 536: 534: 520: 477:pneumoperitoneum 430: 429: 412: 400: 388: 320:double wall sign 110:abdominal trauma 90:abdominal cavity 74:Pneumoperitoneum 67: 66: 58:Gastroenterology 34: 25:Pneumoperitoneum 22: 21: 2813: 2812: 2808: 2807: 2806: 2804: 2803: 2802: 2783: 2782: 2781: 2772: 2737: 2726:Internal hernia 2612: 2557: 2522:Biliary fistula 2480: 2471: 2457:Adenomyomatosis 2452:Cholesterolosis 2428: 2422:Hemochromatosis 2293:Viral hepatitis 2265: 2214: 2172: 2158:Rectal prolapse 2127: 2094:Fecal impaction 2084:Intussusception 2047:Crohn's disease 2013: 1996:Toxic megacolon 1908: 1906:Large intestine 1900: 1845:Curling's ulcer 1798: 1796:Small intestine 1785: 1773: 1681:Gastroenteritis 1652: 1517: 1511: 1481: 1476: 1475: 1452: 1451: 1391: 1377: 1372: 1371: 1340: 1336: 1326: 1324: 1323:. 22 March 2016 1315: 1314: 1310: 1263: 1259: 1228: 1224: 1195: 1191: 1160: 1156: 1111: 1107: 1092: 1088: 1065: 1061: 1038: 1034: 1003:(11): 1048–51. 989: 985: 948: 944: 909: 905: 860: 856: 815: 811: 780: 776: 727: 723: 713: 711: 698: 697: 693: 685: 681: 671: 669: 661: 660: 656: 647: 645: 643: 625: 621: 612: 610: 597: 596: 592: 582: 580: 572: 571: 567: 557: 555: 547: 546: 542: 532: 530: 522: 521: 517: 512: 485: 469: 461: 441: 434: 431: 421: 416: 413: 404: 401: 392: 389: 302: 265: 240:fallopian tubes 216:Breakdown of a 140: 112:. A perforated 94:abdominal organ 86:potential space 61: 20: 17: 12: 11: 5: 2811: 2801: 2800: 2795: 2778: 2777: 2774: 2773: 2771: 2770: 2765: 2763:Hemoperitoneum 2760: 2759: 2758: 2747: 2745: 2739: 2738: 2736: 2735: 2734: 2733: 2728: 2723: 2712: 2711: 2710: 2709: 2704: 2691: 2690: 2685: 2680: 2675: 2670: 2669: 2668: 2663: 2652: 2651: 2646: 2645: 2644: 2633: 2631: 2622: 2618: 2617: 2614: 2613: 2611: 2610: 2605: 2600: 2595: 2594: 2593: 2588: 2583: 2578: 2567: 2565: 2559: 2558: 2556: 2555: 2550: 2549: 2548: 2543: 2530: 2529: 2524: 2519: 2510: 2509: 2508: 2503: 2498: 2487: 2485: 2473: 2472: 2470: 2469: 2464: 2459: 2454: 2449: 2444: 2438: 2436: 2430: 2429: 2427: 2426: 2425: 2424: 2419: 2409: 2404: 2399: 2398: 2397: 2392: 2382: 2381: 2380: 2375: 2365: 2360: 2359: 2358: 2353: 2348: 2343: 2331: 2330: 2329: 2319: 2318: 2317: 2307: 2306: 2305: 2300: 2295: 2284: 2282: 2273: 2267: 2266: 2264: 2263: 2262: 2261: 2251: 2250: 2249: 2244: 2234: 2232:Blood in stool 2228: 2226: 2220: 2219: 2216: 2215: 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1559: 1558: 1557: 1552: 1547: 1536: 1534: 1525: 1523:Upper GI tract 1519: 1518: 1510: 1509: 1502: 1495: 1487: 1478: 1477: 1474: 1473: 1461: 1460: 1458: 1454: 1453: 1450: 1449: 1438: 1427: 1408: 1392: 1387: 1386: 1384: 1383:Classification 1376: 1375:External links 1373: 1370: 1369: 1334: 1308: 1257: 1222: 1205:(in Spanish). 1189: 1154: 1125:(881): 173–5. 1105: 1086: 1059: 1048:(1–2): 49–56. 1032: 983: 962:(4): 297–300. 942: 903: 854: 851:on 2007-09-27. 809: 774: 721: 691: 679: 654: 641: 619: 590: 565: 540: 514: 513: 511: 508: 507: 506: 501: 496: 491: 484: 481: 468: 465: 460: 457: 451:), and linear 440: 437: 436: 435: 432: 419: 417: 414: 407: 405: 402: 395: 393: 390: 383: 366:meconium ileus 332:Rigler's triad 301: 298: 264: 261: 260: 259: 256: 249: 243: 236: 233:United Kingdom 226: 220: 214: 208: 202: 197: 195:Ischemic bowel 192: 187: 181: 170: 165: 159: 154: 148: 145:duodenal ulcer 139: 136: 128:carbon dioxide 69: 68: 55: 49: 48: 36: 35: 27: 26: 18: 15: 9: 6: 4: 3: 2: 2810: 2799: 2796: 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2369: 2368:Liver failure 2366: 2364: 2361: 2357: 2354: 2352: 2349: 2347: 2344: 2342: 2339: 2338: 2337: 2336: 2332: 2328: 2325: 2324: 2323: 2320: 2316: 2313: 2312: 2311: 2308: 2304: 2301: 2299: 2296: 2294: 2291: 2290: 2289: 2286: 2285: 2283: 2281: 2277: 2274: 2272: 2268: 2260: 2257: 2256: 2255: 2252: 2248: 2245: 2243: 2240: 2239: 2238: 2235: 2233: 2230: 2229: 2227: 2225: 2221: 2211: 2208: 2206: 2203: 2201: 2198: 2196: 2193: 2191: 2187: 2184: 2183: 2181: 2179: 2175: 2169: 2166: 2164: 2161: 2159: 2156: 2154: 2151: 2147: 2144: 2143: 2142: 2139: 2138: 2136: 2134: 2130: 2124: 2121: 2117: 2114: 2113: 2112: 2109: 2105: 2102: 2101: 2100: 2097: 2095: 2092: 2090: 2087: 2085: 2082: 2080: 2076: 2073: 2071: 2068: 2066: 2063: 2061: 2057: 2056: 2052: 2048: 2045: 2044: 2043: 2040: 2038: 2035: 2031: 2028: 2027: 2026: 2025:Enterocolitis 2023: 2022: 2020: 2016: 2010: 2006: 2002: 1999: 1997: 1993: 1990: 1986: 1982: 1979: 1977: 1974: 1973: 1972: 1969: 1967: 1964: 1960: 1957: 1955: 1952: 1950: 1947: 1945: 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Index


chest X-ray
hemidiaphragm
Specialty
Gastroenterology
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pneumatosis
peritoneal cavity
potential space
abdominal cavity
abdominal organ
peptic ulcer
bowel
tumor
abdominal trauma
appendix
hiatal hernia
carbon dioxide
laparoscopic surgery
duodenal ulcer
peptic ulcer
Bowel obstruction
diverticulum
Penetrating trauma
inflammatory bowel disease
megacolon
Necrotising enterocolitis
Bowel cancer
Ischemic bowel
Steroids

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