Pneumoperitoneum

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Upper abdominal pain and vomiting for 1 day.

Patient Data

Age: 45 years
Gender: Female
ultrasound

There is free gas anterior to the left lobe of liver and in gastro-hepatic ligament. Free fluid was present in the hepato renal region. 

x-ray

Next study was an abdominal radiograph - erect abdomen - No free gas.

Case Discussion

CT: was done at another center (not uploaded, no copyright). Pneumoperitoneum was present. Site of perforation was not visualized.

Surgery: 2.5 cm gastric antrum perforation, covered with omentum.

Histopathology: Changes of chronic ulceration. No malignancy found.

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