The Pregnant Peritonitis

The gravid uterus can mask the signs of peritoneal irritation (guarding, rigidity and rebound tenderness) by preventing the inflamed organ from contacting the peritoneum. Due to increased white blood cells that naturally occur during pregnancy, leukocytosis is not helpful in identifying acute pathology. A relative increase in blood volume can delay the development of tachycardia […]

Pneumobilia

The abdominal x-rays show dilated small bowel loops with air fluid levels. The erect abdominal x-ray, on close examination shows air in the biliary tree. There are multiple rounded irregular densities in the mid abdomen (turned out to be calcified mesenteric lymph nodes on CT). This patient likely has a small bowel obstruction secondary to […]

Emergency Medicine Kenya Foundation