A 27 yo CF is admitted to the hospital with CC: periumbilical abdominal pain and fever for 2 days.
Smoker, IVDA - heroin, uses cocaine. Failed several rehab programs.
Chest: CTA (B)
CVS: Clear S1S2
Abdomen: Soft, diffuse tenderness, no rebound, ND, +BS
Ext: no c/c/e
She spiked fever and a CXR was ordered as part of the fever work-up.
Pneumoperitoneum - air under the left hemidiaphragm
Close-up view of the pneumoperitoneum
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