Gas Under Diaphragm - Final Year MB BS Lecture
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Transcript of Gas Under Diaphragm - Final Year MB BS Lecture
By;Mr. Adeel ABBAS
Normal Chest X-Ray
Enhanced CXR
Is Gas Under Diaphragm Abnormal?
Gas Under Diaphragm Is Not Always
Dangerous Because It Can Physiologically Be
The Gas …
In Fundus Of The Stomach Or
In Large Intestine…
Is The Gas Under Diaphragm Dangerous?
The Gas Itself Isn't Dangerous, But The Fact
That Enteric Content Is Leaking Out Along
With It Is Deadly…
Gas in Fundus of Stomach…
Gas in the Fundus of Stomach…
Gas Under Both Domes of Diaphragm.
Gas in Large Intestine.
Gas in Fundus of Stomach.
What are the Causes ?????
1. Perforation of Intestine.
What are the Causes ?????
2. Gas Forming Organism.
3. Iatrogenic.
4. Pervaginum.
5. Interposition of Bowel Between Liver & Diaghram.
Free Air Can Only Get To The Point Of Being
"Under The Diaphragm" On An Upright X-ray
(Chest X-ray P.A).
If You Do A Ct Scan On A Patient Who Is Lying
Down, The Air Will Go To The Highest Point Which
Is Under The Umbilicus.
The Detection Of Free Air Is Best Done With An
Chest X-ray Series.
Hair –Line Gas
Under the Right
Dome of Diaphragm.
Gas in Hepatic
Flexure Under the
Right Dome of
Diaphragm.
Management ?
Principles of Management;
Resuscitation.
Decontamination of Peritoneal Cavity.
Repair of Perforation OR Diversion.
Gas in Fundus of Stomach in Dextro-Cardia
Hair –Line Gas
Under the Left Dome
of Diaphragm in
Dextro-Cardia.