Gastric perforation

Case contributed by Dr Alexandra Stanislavsky

Presentation

Adult male presenting with epigastric pain.

Patient Data

Age: 50
Gender: Male
CT

Intravenous and oral contrast enhanced CT demonstrates a large amount of free fluid and gas, dilated jejunal loops with no clear transition point, and induration of the descending colon, the latter two findings suggesting primary pathology in the left side of the peritoneal cavity.

There is a large perforation along the greater curvature of the stomach with contrast seen extravasating and pooling in the adjacent soft tissues.

CT

Case Discussion

The most likely aetiology is perforation of a gastric ulcer.  Surgical report is pending.  

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Case information

rID: 12566
Case created: 17th Dec 2010
Last edited: 20th Sep 2017
Tag: stomach
Inclusion in quiz mode: Included

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