Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum

Pneumoperitoneum is a common complication after penetrating abdominal trauma, gastric ulcer, or colitis in which free air is present in the peritoneal or retroperitoneal space. Sole pneumoretroperitoneum, which refers to gas in the retroperitoneal space, is a rare entity, and when significant, resul...

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Main Authors: Garrett Coleman, BBA, Hasan Khan, MD, Anthony D'Angelo, MS, Zahra Aktar, MD, Irfan Masood, MD
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324001031
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author Garrett Coleman, BBA
Hasan Khan, MD
Anthony D'Angelo, MS
Zahra Aktar, MD
Irfan Masood, MD
author_facet Garrett Coleman, BBA
Hasan Khan, MD
Anthony D'Angelo, MS
Zahra Aktar, MD
Irfan Masood, MD
author_sort Garrett Coleman, BBA
collection DOAJ
description Pneumoperitoneum is a common complication after penetrating abdominal trauma, gastric ulcer, or colitis in which free air is present in the peritoneal or retroperitoneal space. Sole pneumoretroperitoneum, which refers to gas in the retroperitoneal space, is a rare entity, and when significant, results in a characteristic radiographic sign known as “Dirty Mass.” Common causes include penetrating trauma or perforation of the retroperitoneal portions of the gastrointestinal tract (duodenum, ascending colon, descending colon, and rectum). Our case describes a 59-year-old female admitted for sudden onset RLQ abdominal pain with Dirty Mass sign on abdominal KUB. Early recognition of these key radiographic findings accelerates management and reduces the risk of developing complications.
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spelling doaj.art-0ca7858d60b44908b318a3c7c692278e2024-03-10T05:11:54ZengElsevierRadiology Case Reports1930-04332024-05-0119518391842Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneumGarrett Coleman, BBA0Hasan Khan, MD1Anthony D'Angelo, MS2Zahra Aktar, MD3Irfan Masood, MD4John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, TX, USA; Corresponding author.Department of Radiology, The University of Texas Medical Branch, Galveston, TX, USAJohn Sealy School of Medicine, The University of Texas Medical Branch, Galveston, TX, USADepartment of Radiology, The University of Texas Medical Branch, Galveston, TX, USADepartment of Radiology, The University of Texas Medical Branch, Galveston, TX, USAPneumoperitoneum is a common complication after penetrating abdominal trauma, gastric ulcer, or colitis in which free air is present in the peritoneal or retroperitoneal space. Sole pneumoretroperitoneum, which refers to gas in the retroperitoneal space, is a rare entity, and when significant, results in a characteristic radiographic sign known as “Dirty Mass.” Common causes include penetrating trauma or perforation of the retroperitoneal portions of the gastrointestinal tract (duodenum, ascending colon, descending colon, and rectum). Our case describes a 59-year-old female admitted for sudden onset RLQ abdominal pain with Dirty Mass sign on abdominal KUB. Early recognition of these key radiographic findings accelerates management and reduces the risk of developing complications.http://www.sciencedirect.com/science/article/pii/S1930043324001031Dirty MassDirty Mass signPneumoretroperitoneumColonic perforationRetroperitoneum
spellingShingle Garrett Coleman, BBA
Hasan Khan, MD
Anthony D'Angelo, MS
Zahra Aktar, MD
Irfan Masood, MD
Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum
Radiology Case Reports
Dirty Mass
Dirty Mass sign
Pneumoretroperitoneum
Colonic perforation
Retroperitoneum
title Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum
title_full Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum
title_fullStr Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum
title_full_unstemmed Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum
title_short Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum
title_sort dirty mass sign of abdominal imaging a case of silent pneumoperitoneum
topic Dirty Mass
Dirty Mass sign
Pneumoretroperitoneum
Colonic perforation
Retroperitoneum
url http://www.sciencedirect.com/science/article/pii/S1930043324001031
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