Answers
What does the film show ?
There is free gas seen beneath the diaphragms –
this is a pneumoperitoneum.
What are the common causes?
There are many causes including :
Diverticulitis – ruptured sigmoid diverticulum.
Perforated gastric or duodenal ulcer.
Iatrogenic, for example following endoscopy.
Extension from chest – from pneumomediastinum.
Plus many more.

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