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Images in emergency medicine
The Mount Fuji sign of the pneumoperitoneum
  1. A Hokama1,
  2. S Yara1,
  3. J Fujita1,
  4. S Nakamura2,
  5. M Nakaema2,
  6. Y Kuniyoshi2
  1. 1
    First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
  2. 2
    Second Department of Surgery, University of the Ryukyus, Okinawa, Japan
  1. Dr A Hokama, First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-a{at}med.u-ryukyu.ac.jp

http://dx.doi.org/10.1136/emj.2008.062125

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    A 58-year-old man presented with acute onset of epigastric pain that lasted for 2 h. Physical examination showed generalised abdominal tenderness and a positive peritoneal sign. Plain abdominal radiography disclosed a double-wall sign, indicating pneumoperitoneum. …

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    Footnotes

    • Competing interests: None.

    • Ethics approval: Ethics approval was obtained.

    • Patient consent: Obtained.

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    2009 BMJ Publishing Group Ltd and the British Association for Emergency Medicine