Abdomen sans préparation : une alternative parfois rentable


acute abdominal pain
abdominal x-ray
bowel obstruction

How to Cite

BEROUD, S. (2019). Abdomen sans préparation : une alternative parfois rentable: Abdominal X ray: sometimes a profitable alternative. Mediterranean Journal of Emergency Medicine, (27), 34-36. Retrieved from http://ojs.mjemonline.com/index.php/mjem/article/view/104


The use of abdominal X-ray is controversial in acute abdominal pain investigation. CT-scans are often preferred, yet accessibility to medical imaging can be difficult. Indeed, not all medical centres have a CT-scan Unit or a 24-hour access to this peculiar medical imaging thus increasing time to get a CT-scan. We report the case of a 64-year-old man, with atypical abdominal pain, for whom plain abdominal radiography showed pneumoperitoneum secondary to bowel obstruction. The abdominal X-ray enabled the medical care to be continued with the patient’s consent.



Gans SL, Stoker J, Boermeester MA. Plain abdominal radiography in acute abdominal pain; past, present, and future. Int J Gen Med 2012; 5:525-33.

Haute Autorité de Santé. Indications et non-indications de la radiographie de l’abdomen sans préparation. Rapport d’évaluation technologique. 2009 http:// www.has-sante.fr/portail/jcms/c_745656/fr/indications-et-non-indications- de-la-radiographie-de-l-abdomen-sans-preparation (dernier accès le 20 mars 2018).

American College of Radiology and the Society for Pediatric Radiology. Practice parameter for the performance of abdominal radiography (Resolution 2) 2016; https://www.acr.org/-/media/ACR/Files/Practice- Parameters/radabd.pdf?la=en (dernier accès le 20 mars 2018).

Excoffier S, Poletti PA, Brandstatter H. Douleurs abdominales aiguës hautes: quelle imagerie? Rev Med Suisse 2013; 9:1710-4.

Ly JQ. The Rigler Sign. Radiology 2003; 228:706-7.

Soin S, Catriona R, Akkib R, Cheng F. Indications for Plain Abdominal films from the Emergency Department | The Royal College of Radiologists. 2016 https://www.rcr.ac.uk/audit/indications-plain-abdominal-films- emergency-department (dernier accès le 31 mai 2018).