Gastric perforation

Case contributed by Dr Ian Bickle


Worsening generalised abdominal pain.

Patient Data

Age: 65
Gender: Female

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. 

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Case information

rID: 23564
Published: 23rd Jun 2013
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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