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Peptic ulcer

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

The patient suffering from epigastric pain for a long time.

Patient Data

Age: 70 years
Gender: Female
ultrasound

Stomach antrum wall thickness of 9.1 mm with a suspected lesion in the pylorus

Umbilical hernia: 11 x 12 mm 

Colon wall thickness: 7-8 mm

Minimal free fluid.

Endoscopy was done by Muneer ALrateb MD, Internist, Lattakia, Syria.

Photo

Acute antrum inflammation (arrows).

Peptic ulcer (yellow area surrounded by red contour) above the pylorus (star)

Case Discussion

Ultrasound of the stomach is not specific for stomach diseases, but maybe give us a flash. 

It needs experience and clinical correlation, if any suspicious findings are noted, endoscopy and other investigations become recommended.

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