Rigler sign - bowel

Case contributed by Assoc Prof Craig Hacking


Abdominal pain and distension. Significant abdominal trauma 2 years earlier.

Patient Data

Age: 55 years
Gender: Female

Great example of Rigler sign of free intra-abdominal gas outlining distended small bowel loops. Multiple surgical clips are noted in keeping with the history of prior laparotomy for traumatic mesenteric injury.

Case Discussion

This patient went to theater where an adhesive small bowel obstruction was found with a perforation just proximal to the adhesion.

PlayAdd to Share

Case information

rID: 71669
Published: 16th Oct 2019
Last edited: 24th Jan 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.