PMC5643087_01
An anterior-posterior (AP) X-ray of the abdomen read as "free intraperitoneal air suggestive of a perforated viscus" (arrows).
CRIS2017-5052634.001.jpg
PMC5643087_01_CRIS2017-5052634.001.jpg
fig1
X-rays of the chest and abdomen were obtained which showed free air under the diaphragm (Figure 1).
Coronal (a) and transverse (b) views of the CT of the abdomen and pelvis, read as "free intraperitoneal air, findings suggestive of a perforated viscus. There is free air around the porta hepatis which would favor an upper GI source." Arrows in (a) refer to coronal view of free air around the porta hepatis and in (b) to transverse view of free air around porta hepatis.
CRIS2017-5052634.002.jpg
PMC5643087_01_CRIS2017-5052634.002.jpg
fig2
A follow-up abdomen and pelvis CT scan without contrast confirmed free air in the abdomen, particularly around the porta hepatis (Figure 2).