Perforation peritonitis

18 yr male presented with acute abdomen pain and vomiting.

Ultrasound findings

• Moderate ascites with pneumoperitoneum.
• Organized ascitic fluid with trapped air pockets in pelvis.
• Diffuse mild wall edema of small bowel loops predominantly involving jejunum.
• Features suggestive of perforation peritonitis.

Shared for knowledge sharing. Patient details have been removed. This is not medical advice.