Rigler sign

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Rigler sign: a subtle finding of pneumoperitoneum.

A 75-year-old woman with a past medical history of hypertension, presented to the emergency department (ED) with 12 h of persistent, non-radiating, diffuse abdominal pain. The patient had undergone a colonoscopy the day before. A chest X-ray study was done in the ED after the patient was sitting upright for at least 10 min, but shows no free air under the diaphragm (Fig. 1). The abdominal X-ray...

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Rigler triad in gallstone ileus.

E690 CMAJ, October 1, 2013, 185(14) © 2013 Canadian Medical Association or its licensors A90-year-old man was admitted with acute-onset, pressing retrosternal pain and diffuse abdominal discomfort. Electrocardiography and cardiac troponin levels ruled out an acute coronary syndrome. Plain radiography of the abdomen (Figure 1A) showed multiple air–fluid levels and air in the biliary tree (pneumo...

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Evaluation of left ventricular enlargement in the lateral position of the chest using the Hoffman and Rigler sign.

OBJECTIVE To evaluate left ventricular enlargement in the lateral projection of the chest using the Hoffman and Rigler sign. BACKGROUND The Hoffman and Rigler sign for determining left ventricular enlargement was suggested as early as 1965 before the routine use of echocardiography. METHODS We studied 136 patients who had had cardiac ultrasound and chest X-rays with lateral projections. We ...

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Natural selection is an important factor influencing variation in the human genome, but most genetic studies of natural selection have focused on variants with unknown phenotypic associations. This trend is changing. New studies are rapidly revealing the effects of natural selection on genetic variants of known or likely functional importance.

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Gallstone ileus displaying the typical Rigler triad and an occult second ectopic stone

RATIONALE Gallstone ileus is a rare complication of cholecystolithiasis. It has a female predominance and can result in high mortality rates. PATIENT CONCERNS A 71-year-old woman complaining of recurrent vomiting and vague epigastralgia for > 2 weeks presented to our department. DIAGNOSIS Based on her physical examination, laboratory test results and radiographic findings (the typical Rigle...

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ژورنال

عنوان ژورنال: Abdominal Radiology

سال: 2017

ISSN: 2366-004X,2366-0058

DOI: 10.1007/s00261-017-1149-9