A Rare Case of an Internal Hernia of Small Bowel Masquerading as Pneumoperitoneum

Shireesh Gupta; Prakash Alagarsamy; Ankit Goyal

doi:10.5005/jp-journals-10057-0064

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A Rare Case of an Internal Hernia of Small Bowel Masquerading as Pneumoperitoneum

Shireesh Gupta, Prakash Alagarsamy, Ankit Goyal

Keywords : Chilaiditi syndrome, Internal herniation, Pseudopneumoperitoneum

Citation Information : Gupta S, Alagarsamy P, Goyal A. A Rare Case of an Internal Hernia of Small Bowel Masquerading as Pneumoperitoneum. J Mahatma Gandhi Univ Med Sci Tech 2018; 3 (1):34-35.

DOI: 10.5005/jp-journals-10057-0064

License: CC BY-NC 4.0

Published Online: 01-04-2018

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Abstract

Free gas under diaphragm is a very significant X-ray finding seen among patients of acute abdomen coming to the ER of any hospital. This finding usually suggests perforation of a hollow viscus and requires urgent surgical intervention. But there are some pathologies which mimic this important sign thereby necessitating the surgeon to always take a holistic view and approach any potential laparotomy with clinical suspicion. We have presented such a case seen in our emergency department wherein an internal herniation of bowel loops presented with pseudopneumoperitoneum.

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