Peptic ulcer

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

The patient suffering from epigastric pain for a long time.

Patient Data

Age: 70 years
Gender: Female
ultrasound
Right image is longitudinal and the
left image is transverse section
Left image is longitudinal and the
right image is transverse section
Left image is longitudinal and the
right image is transverse section
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Info

Stomach antrum wall thickness of 9.1 mm with a suspected lesion in the pylorus

Umbilical hernia: 11 x 12 mm 

Colon wall thickness: 7-8 mm

Minimal free fluid.

Endoscopy was done by Muneer ALrateb MD, Internist, Lattakia, Syria.

Photograph
endoscopy
endoscopy
peptic ulcer (arrows)
pylorus (star)
endoscopy
endoscopy shows peptic
ulcer after washing
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Info

Acute antrum inflammation (arrows).

Peptic ulcer (yellow area surrounded by red contour) above the pylorus (star)

Case Discussion

Ultrasound of the stomach is not specific for stomach diseases, but maybe give us a flash. 

It needs experience and clinical correlation, if any suspicious findings are noted, endoscopy and other investigations become recommended.

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