case_images: PMC5671692_01
case_images: Abdominal X-ray showing lucency outlining the right crus of the diaphragm and extending along the right psoas muscle.
case_images: CRIEM2017-7089573.001.jpg
case_images: PMC5671692_01_CRIEM2017-7089573.001.jpg
case_images: fig1
case_images: Supine abdominal X-ray showed no dilated bowel loops, but there was an abnormal lucency at the right abdomen outlining the right crus of the diaphragm and extending along the right psoas muscle (Figure 1).
case_images: CT scan of abdomen at the level of the pancreas showing pneumoperitoneum with retroperitoneal air involving the right perinephric region.
case_images: CRIEM2017-7089573.002.jpg
case_images: PMC5671692_01_CRIEM2017-7089573.002.jpg
case_images: fig2
case_images: CT imaging done showed extensive retroperitoneal gas with mediastinal extension (Figure 2) and there was radiological suspicion of perforation at the region of the 2nd and 3rd part of the duodenum (Figure 3).
case_images: CT scan of abdomen showing pneumoperitoneum at region of 2nd and 3rd part of the duodenum with retroperitoneal air involving the right perinephric region.
case_images: CRIEM2017-7089573.003.jpg
case_images: PMC5671692_01_CRIEM2017-7089573.003.jpg
case_images: fig3
case_images: CT imaging done showed extensive retroperitoneal gas with mediastinal extension (Figure 2) and there was radiological suspicion of perforation at the region of the 2nd and 3rd part of the duodenum (Figure 3).
case_images: CT scan of thorax illustrating presence of pneumomediastinum at the level of the aortic arch.
case_images: CRIEM2017-7089573.004.jpg
case_images: PMC5671692_01_CRIEM2017-7089573.004.jpg
case_images: fig4
case_images: There was pneumomediastinum identified on CT scan of the thorax (Figures 4 and 5).
case_images: CT scan of thorax illustrating presence of pneumomediastinum at the level of the diaphragm.
case_images: CRIEM2017-7089573.005.jpg
case_images: PMC5671692_01_CRIEM2017-7089573.005.jpg
case_images: fig5
case_images: There was pneumomediastinum identified on CT scan of the thorax (Figures 4 and 5).