case_images: PMC11670928_01
case_images: Air under diaphragm on an erect chest X-ray.
case_images: rjae814f1.jpg
case_images: PMC11670928_01_rjae814f1.jpg
case_images: f1
case_images: On erect chest film, there was air under the diaphragm (Fig. 1).
case_images: (A) Abdominal CT demonstrating subphrenic pneumoperitoneum. (B) Abdominal CT with triple contrast without any contrast extravasation.
case_images: rjae814f2.jpg
case_images: PMC11670928_01_rjae814f2.jpg
case_images: f2
case_images: The general surgery team was consulted regarding the finding in chest X-ray film, and after assessment, an urgent abdominal computed tomography (CT) with intravenous, oral, and rectal contrast (Fig. 2A and B) was done showing a moderate amount of pneumoperitoneum as well as an extraperitoneal subcutaneous air foci was noted.