Question
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?
A. Pneumoperitoneum.
B. Pneumomediastinum.
C. Pleural Effusion.
D. Normal.
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Correct Answer » A Explanation |
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Ans:A. Pneumoperitoneum.
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