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Case Reports in Emergency Medicine
Volume 2017, Article ID 7089573, 4 pages
https://doi.org/10.1155/2017/7089573
Case Report

Perforated Duodenal Diverticulum with Subtle Pneumoretroperitoneum on Abdominal X-Ray

Department of Emergency Medicine, Singapore General Hospital, Singapore

Correspondence should be addressed to Yuzeng Shen; gs.moc.htlaehgnis@gnezuy.nehs

Received 18 May 2017; Revised 25 August 2017; Accepted 17 September 2017; Published 19 October 2017

Academic Editor: Kalpesh Jani

Copyright © 2017 Yuzeng Shen and Mark Kwok Fai Leong. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Abdominal pain is one of the most common presenting complaints at the Emergency Department (ED). Given the myriad of possible differential diagnoses for abdominal pain, it becomes more important to diagnose conditions requiring emergent surgical intervention early. We present a case of an elderly male patient with abdominal pain secondary to perforated hollow viscus, subtle evidence of pneumoretroperitoneum on the initial supine abdominal X-ray, and review the signs of pneumoperitoneum and pneumoretroperitoneum on plain abdominal X-rays.