A patient presented with acute, severe abdominal pain.Abdominal guarding was present on examination.History of smoking, high alcohol intake, and long term use of non-steroidal anti-inflammatory drugs was present.
Chest X ray showed the following features.What can be the most probable diagnosis?
C. Pleural Effusion.
Chest X ray in the image shows:
- The lungs are normal
- The diaphragm is crisply defined on both sides .
- Air under the diaphragm is seen as crescents of relatively low density .
Diagnosis: Pneumoperitoneum possible due to a perforated duodenal ulcer