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Pseudopneumoperitoneum in Plain Radiograph: a Case of Pyogenic Liver Abscess

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Abstract

Right upper abdomen is radiopaque in plain radiographs. Radiolucency in this region separating diaphragm from the liver indicates pneumoperitoneum. Without free gas, if this finding is seen, then it is called pseudopneumoperitoneum. It has been described in relation to Chilaiditi syndrome and few other rare clinical scenarios. Theoretically speaking, a gas-containing pyogenic liver abscess can produce a similar radiographic picture. However, this is rarely seen and therefore this finding is of academic importance.

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References

  1. Ramachar Sreevathsa M, Melanta K (2016) R gas under diaphragm. Int J Surg Case Rep 28:314–316

    Article  Google Scholar 

  2. Lo BM (2010) Radiographic look-alikes: distinguishing between pneumoperitoneum and pseudopneumoperitoneum. J Emerg Med 38(1):36–39

    Article  Google Scholar 

  3. Sureka B, Bansal K, Arora A (2015) Pneumoperitoneum: what to look for in a radiograph? J Fam Med Prim Care 4(3):477–478

    Article  Google Scholar 

  4. Oh JH, Jung SH, Jeon EJ (2011) Gas-forming pyogenic liver abscess suspected on a plain chest X-ray. Korean J Intern Med 26(3):364

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, AIIMS Bhubaneswar, Room no-401, Academic block, Bhubaneswar, Odisha, 751019, India

    Mithilesh Kumar Sinha & V. S. Vikram

Authors
  1. Mithilesh Kumar Sinha
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  2. V. S. Vikram
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Correspondence to Mithilesh Kumar Sinha.

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Sinha, M.K., Vikram, V.S. Pseudopneumoperitoneum in Plain Radiograph: a Case of Pyogenic Liver Abscess. Indian J Surg 82, 112–113 (2020). https://doi.org/10.1007/s12262-019-01945-w

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  • DOI: https://doi.org/10.1007/s12262-019-01945-w

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