PMC3433118_01
(a) AP abdominal X-ray on DOL 8 showing no portal venous gas or pneumatosis (b) cross table lateral X-ray on DOL 8 showing pneumoperitoneum.
CRIM.SURGERY2012-316147.001.jpg
PMC3433118_01_CRIM.SURGERY2012-316147.001.jpg
fig1
Subsequent abdominal radiographs demonstrated the presence of pneumoperitoneum without pneumatosis or portal venous gas (see Figure 1), and a peritoneal drain was placed.
PMC3433118_02
Abdominal XR of JW on re-presentation with obstructive pattern.
CRIM.SURGERY2012-316147.002.jpg
PMC3433118_02_CRIM.SURGERY2012-316147.002.jpg
fig2
Physical exam was consistent with peritonitis and abdominal radiograph is seen in Figure 2.