Duodenal perforation

Case contributed by Dr Ayush Goel

Presentation

Ultrasound (in another hospital) reported as a subcapsular liver abscess along the left lobe of liver.

Patient Data

Age: 55
Gender: Male
CT

Perforation of 1st part of duodenum with oral contrast pooling into a localized collection along the left lobe of liver.

Pyloric thickening also noted.

Case Discussion

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.

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Case information

rID: 33002
Case created: 24th Dec 2014
Last edited: 14th Aug 2016
Inclusion in quiz mode: Included

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