Gastric perforation

Case contributed by Dr Ian Bickle

Presentation

Worsening generalised abdominal pain.

Patient Data

Age: 65
Gender: Female
CT

Large volume pneumoperitoneum and free fluid.

Hole in the anterior aspect of the stomach.

Annotated image
Huge hole in the anterior aspect of the body of the stomach.

Case Discussion

Gastric perforation is less common than previously, largely due to the common use of PPI medication.  

Typically, ancillary signs are observed on CT: extra-luminal gas,  peritoneal fluid, thickening of the gastric wall, rather than the 'hole' in the stomach itself from the perforation.

This case illustrates a large perforation in the anterior aspect of the stomach with large volume hydroperitoneum. 

Related articles

Peptic ulcer disease

Pneumoperitoneum

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Case information

rID: 23564
Case created: 23rd Jun 2013
Last edited: 26th Jan 2016
Inclusion in quiz mode: Included

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