Presentation
Six hours history of severe abdominal pain with generalized abdominal tenderness.
Patient Data
Age: 35 years
Gender: Male
From the case:
Perforated duodenal ulcer with peritonitis
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Focal mural defect of the duodenal bulb with adjacent fat stranding and extraluminal air bubbles. Small air bubbles are also noted within the peritoneal cavity mainly around the liver with thickening of the peritoneal reflections and intraperitoneal effusion.
From the case:
Perforated duodenal ulcer with peritonitis
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Annotated images: the green arrows indicated the site of the duodenal perforation.
Case Discussion
CT features of a perforated duodenum bulb with secondary peritonitis that was confirmed at surgery (perforated duodenal ulcer).
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