The Huge Hydropneumoperitoneum Has Reported as Complication of Perforated Duodenal Ulcer with Interested Images
A hydropneumoperitoneum refers to free air and fluid in peritoneal cavity (1). Pneumoperitoneum refers to air in peritoneal cavity (1). Both are indicate to perforated viscous . It is very important sign to detect the pathological cause of acute abdominal pain. The patient who has this sign may need urgent surgical intervention. If miss it the patient may die (2). In usually we can see this sign in chest x ray as air under diaphragm and it’s the famous sign for pneumoperitonum (3) . The air fluid line in chest –abdomen x ray is refer to hydropneumoperitonium which is less common than pneumoperitoneum in perforated duodenal ulcer(4) . In this case we have case of acute abdominal pain with hydropneumopertoneum appeared as air fluid line in x ary . Patient had omental patch operation . Two days after operation he got severe abdominal pain. He had images showed significant huge hydropneumopritoneum. He had one more urgent surgical intervention for exploration which detected large amount of gases a, Billary free fluid and leak from duodenal ulcer. Omental buttressing has been done.
