Large Abdominal Gas Pocket

Robert A. Clark, MD
JAMA. 1975;233(10):1097-1098. doi:10.1001/jama.1975.03260100067026.
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  1. Bladder, emphysematous cystitis

  2. Cecal distension, obstructive or nonobstructive

  3. Gastric obstruction

  4. Pneumoperitoneum, free or loculated

  5. Volvulus of stomach, small bowel, or colon


  1. Abdominal wall gas (postoperative, abscess)

  2. Amnionitis, endometritis

  3. Blind loop syndrome

  4. Duplication

  5. Hernia, obstructed

  6. Hydropneumometrocolpos, vaginitis emphysematosa

  7. Infected fibroid

  8. Liver abscess or gangrene

  9. Meckel diverticulum, giant colon diverticulum

  10. Pancreatic gas abscess

  11. Pregnancy, extrauterine, with perforation into colon

  12. Psoas abscess

  13. Small-bowel obstruction, chronic

  14. Subphrenic abscess

  15. Tubo-ovarian abscess

Diagnosis  Tubo-ovarian abscess

Comment  A 47-year-old woman, gravida 6, para 4, abortus 2, was admitted to the hospital because of abdominal pain and a large abdominal mass. She had a temperature of 39 C (102 F) and a white blood cell (WBC) count of 13,300/cu mm. The abdominal mass was palpable from the pelvis extending two to three fingerbreadths above


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