Duodenal perforation

Case contributed by Ayush Goel
Diagnosis almost certain

Presentation

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

Patient Data

Age: 55 years
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 visualized in pyloric region. The pyloric thickening seen on CT was due to edema in the wall.

Patient was taken for laparotomy, duodenal perforation was sealed with omental patch.

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