Limits...
Gastric Rupture - iatrogenic

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastric Rupture - iatrogenic

History: 84 yo male with severe abdominal pain several hours s/p Schatzki ring dilation. One episode of emesis with a bloody streak.

Findings: Acute Abd: Rigler’s Sign = Air on both sides of the bowel wall indicating free air and perforated viscus. CT: Free air in the abdomenUpper GI: Gastrograffin leak indicating gastric rupture near the esophagogastric junction

Ddx: Esophagus Rupture: iatrogenic, Mallory Weiss, Boerhaave’s Gastric Rupture: iatrogenic, perforated ulcer

Exam: Generally well appearing but in moderate distress, awake, A+O X 3, HEENT normal, Lungs CTAB, Heart tachycardic with normal s1s2 and no MRG. Pulses 2+ and equal. Abd soft, diffusely tender to palpation, esp over LUQ which was tender to percussion with rebound. NABS. Labs: 138/5.4/109/23/19/1.0, CBC: 7.1>14.5/40.5<130, Amy/Lip: 61/101, Coags: 14.3/1.2/27.4

No MeSH data available.


Acute Abd: Rigler’s Sign = Air on both sides of the bowel wall indicating free air and perforated viscus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1528&req=5

MPX1528_synpic16715: Acute Abd: Rigler’s Sign = Air on both sides of the bowel wall indicating free air and perforated viscus


Gastric Rupture - iatrogenic

USU Teaching File MUTF - MedPix

Acute Abd: Rigler’s Sign = Air on both sides of the bowel wall indicating free air and perforated viscus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1528&req=5

MPX1528_synpic16715: Acute Abd: Rigler’s Sign = Air on both sides of the bowel wall indicating free air and perforated viscus

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Gastric Rupture - iatrogenic

History: 84 yo male with severe abdominal pain several hours s/p Schatzki ring dilation. One episode of emesis with a bloody streak.

Findings: Acute Abd: Rigler’s Sign = Air on both sides of the bowel wall indicating free air and perforated viscus. CT: Free air in the abdomenUpper GI: Gastrograffin leak indicating gastric rupture near the esophagogastric junction

Ddx: Esophagus Rupture: iatrogenic, Mallory Weiss, Boerhaave’s Gastric Rupture: iatrogenic, perforated ulcer

Exam: Generally well appearing but in moderate distress, awake, A+O X 3, HEENT normal, Lungs CTAB, Heart tachycardic with normal s1s2 and no MRG. Pulses 2+ and equal. Abd soft, diffusely tender to palpation, esp over LUQ which was tender to percussion with rebound. NABS. Labs: 138/5.4/109/23/19/1.0, CBC: 7.1>14.5/40.5<130, Amy/Lip: 61/101, Coags: 14.3/1.2/27.4

No MeSH data available.