Bowel-GI - Ascites with Pneumoperitoneum
Caption
Pt with PMH of cirrhosis presents with abdominal pain and fever. POCUS initially performed for diagnostic paracentesis in the setting of suspected spontaneous bacterial peritonitis. Imaging demonstrated bubbles seen in ascites fluid consistent with pneumoperitoneum. This led to management change as paracentesis was deferred and surgery was consulted. The patient was taken to the OR, and found to have a diverticular abscess with a necrotic segment that was resected. Image courtesy of Robert Jones DO, FACEP @RJonesSonoEM Director, Emergency Ultrasound; MetroHealth Medical Center; Professor, Case Western Reserve Medical School, Cleveland, OH View his original post here