Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)



50 year old female with LLQ pain that became acutely worse.

Convex transducer placed anteriorly over the RUQ with indicator cephalad (sagittal plane).

Enhancement of peritoneal stripe sign w/ reverberation artifact concerning for a bubble of free air between peritoneum and liver (ie, intestinal/gastric perforation).



Dr. Meghan Herbst @EUSmkh



#Free #Air #Abdominal #POCUS #EPSS #clinical #ultrasound #radiology