Auscultation of lungs revealed bilateral air entry without any adventitious sounds. Precordial examination revealed normal heart sounds without any murmur or gallops. On examination, he was afebrile, with a blood pressure of 167/87 mm of Hg, pulse of 103/minute, respiration rate of 18/minute, and oxygen saturation of 95% on room air. He denied tobacco, alcohol, or illicit drug use. He had no significant past surgical history. His medical history was significant for Parkinson’s disease and glaucoma. He denied nausea, vomiting, fever, or any change in the bowel habits. The patient also had difficulty in passing urine. The pain was 7/10 in intensity, gradual in onset, and nonradiating, with no exacerbating or relieving factors. Case PresentationĪ 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient clinically improved with improvement of the abdominal pain. Foley’s catheter was placed and the patient was managed conservatively.
SPLENIC FLEXTURE XRAY FREE
Computed tomography (CT) of the abdomen showed a loop of colon interpositioned between the liver and the right hemidiaphragm (the Chilaiditi sign), mimicking free air.
Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness or guarding. A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days.
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