PMC8559637_01
Air inside the abdominal cavity and kidney (retroperitoneal)
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PMC8559637_01_cjim-12-426-g001.jpg
F1
Therefore, duodenum perforation was suspected and abdominal radiography was performed which disclosed a large area of mottled air in the retroperitoneal area (around the kidney) (figure 1).
Air inside the abdominal cavity and kidney (retroperitoneal)
cjim-12-426-g002.jpg
PMC8559637_01_cjim-12-426-g002.jpg
F2
Abdominal computed tomography indicated the evidence of duodenal rupture, including retroperitoneal air, intra-abdominal free fluid, bilateral pneumothorax, Pneumomediastinum and subcutaneous emphysema (figures 2-3).
Bilateral pneumothorax and subcutaneous emphysema
cjim-12-426-g003.jpg
PMC8559637_01_cjim-12-426-g003.jpg
F3
Abdominal computed tomography indicated the evidence of duodenal rupture, including retroperitoneal air, intra-abdominal free fluid, bilateral pneumothorax, Pneumomediastinum and subcutaneous emphysema (figures 2-3).