Hydropneumoperitoneum with concurrent calcified neurogenic tumour
Acute epigastric pain
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Ultrasound of the abdomen revealed hydro-pneumoperitoneum with a densely calcified mass in the retroperitoneum in the left paraspinal location.
These findings are confirmed on the Radiograph of the abdomen taken in the upright position.
Final diagnosis: Gastric ulcer perforation with neurogenic tumor