Hydropneumoperitoneum with concurrent calcified neurogenic tumor

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Acute epigastric pain

Air under diaphragms noted. A well-defined round calcified mass projected over the left of L3-4 vertebral body.

Case Discussion

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

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