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[Clinical Picture] Pneumoperitoneum, a urological source

In January, 2014, a 25-year-old woman with no medical history of note presented with a 3-day history of abdominal pain associated with vomiting. On examination she was dehydrated, febrile, and had abdominal distention with localised peritonism to the right flank. She had sinus tachycardia (130 beats per min) and tachypnoea (28 breaths per min) but was normotensive with normal peripheral oxygenation saturations.

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