Duodenal perforation

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Three days history of acute upper abdominal pain.

Patient Data

Age: 25 years
Gender: Male
ct

There is a focal defect of the anterior wall of the duodenal bulb with fat stranding and a small amount of adjacent extra-luminal gas in keeping with a focal perforation.

Annotated image

Annotated images: the red arrows indicate the probable site of duodenal perforation.

Case Discussion

CT features of a focal perforation of the anterior wall of the duodenal bulb with fat stranding and amount of extra-luminal gas which was confirmed at surgery as a perforated duodenal ulcer.

 

Additional contributor: R. Bouguelaa, MD

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