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Report of Three Cases

Timothy Melester, MD; Michael E. Burt, MD, PhD

JAMA. 1985;254(7):944-945.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

PNEUMOPERITONEUM is associated with a variety of intra-abdominal pathological disorders. Interposition of the right side of the colon between the diaphragm and liver is a benign process in which the radiological appearance can be confused with more catastrophic conditions associated with pneumoperitoneum.

Interposition of the right colon between the liver and the diaphragm has been described for nearly 100 years. Although the majority of cases may be merely radiological curiosities, patients may present with a variety of abdominal signs and symptoms.

We present three case reports of this entity and a review of the literature.

Report of Cases

CASE 1.—

A 75-year-old woman presented to the emergency room with a four-hour history of severe right upper quadrant pain with nausea and vomiting. The abdomen was mildly distended with moderate tenderness and guarding in the right upper quadrant and hyperactive bowel sounds. Roentgenograms of the chest and abdomen showed an interposed . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Surgery, The New York Hospital-Cornell Medical Center, New York.

Footnotes
Reprint requests to Department of Surgery, The New York Hospital-Cornell Medical Center, 525 E 68th St, New York, NY 10021 (Dr Melester).

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