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Double wall sign.

This is a secondary
sign of pneumoperitoneum. Patient is
supine, and air within the abdomen and
lumen of the bowel accentuate both
sides of the bowel wall.
Rigler's sign
From Wikipedia, the free encyclopedia
Rigler's sign, also known as the double wall sign, is a radiologic sign seen on an x-ray of the abdomen when
air is present on both sides of the intestine; a Rigler's sign is present when air is present on the inside (luminal
side) and the outside (peritoneal side). Air in the peritoneum is considered abnormal, unless the patient had a
recent abdominal surgery.
A false double wall sign can result from two loops of bowel being in
contact with one another.
The sign is named after Leo George Rigler.
1 See also
2 References
3 Sources
4 External links
See also
Football sign
^ de Lacey G, Bloomberg T, Wignall BK. Pneumoperitoneum: the misleading double wall sign. Clin Radiol. 1977
Jul;28(4):445-8. PMID 872511.
Harkin DW, Blake G. Small bowel obstruction in a young adult. Postgrad Med J. 1999
Mar;75(881):173-5. PMID 10448501. Free Full Text (
External links
A film of Rigler's sign ( and the Football
sign -
Rigler's sign - Wikipedia, the free encyclopedia's_sign
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Rigler's sign - Wikipedia, the free encyclopedia's_sign
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