A Rare Case of an Internal Hernia of Small Bowel Masquerading as Pneumoperitoneum

Abstract

Free gas under diaphragm is a very significant X-ray finding seen among patients of acute abdomen coming to the ER of any hospital. This finding usually suggests perforation of a hollow viscus and requires urgent surgical intervention. But there are some pathologies which mimic this important sign thereby necessitating the surgeon to always take a holistic view and approach any potential laparotomy with clinical suspicion. We have presented such a case seen in our emergency department wherein an internal herniation of bowel loops presented with pseudopneumoperitoneum.