BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39289.560278.BD (Published 02 August 2007) Cite this as: BMJ 2007;335:266

This article has a correction. Please see:

  1. S Amerasekera, specialist registrar,
  2. B Wee, specialist registrar,
  3. G Jones, consultant
  1. department of radiology, Heart of England Foundation Trust, Birmingham B9 5SS
  1. steve.amerasekera{at}nhs.net

    A 67 year old man presented with three days of lower abdominal pain and diarrhoea. On examination he was tachycardic and tender in the left iliac fossa. His white cell count was raised, but he had normal urea and electrolytes. He was diagnosed as having diverticulitis and started on intravenous antibiotics and fluids. His chest x ray showed the “continuous diaphragm” sign, which is a classic indication of a pneumomediastinum. Computed tomography confirmed the presence of free intraperitoneal air, secondary to a perforated diverticulum. The patient settled with conservative management.

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