Ultrasound (in another hospital) reported as a subcapsular liver abscess along the left lobe of liver.
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Perforation of 1st part of duodenum with oral contrast pooling into a localized collection along the left lobe of liver.
Pyloric thickening also noted.
Perforation of 1st part of duodenum was confirmed on endoscopy. No growth was visualised in pyloric region. The pyloric thickening seen on CT was due to oedema in the wall.
Patient was taken for laparotomy, duodenal perforation was sealed with omental patch.