Presentation
Severe epigastric pain.
Patient Data
Age: 60
Gender: Male
From the case:
Peptic ulcer with early localized perforation
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There is edematous thickening of the wall of the gastric antrum, pylorus and first part of the duodenum with mild surrounding fat stranding. The mucosa can be seen to enhance. There is one small focus of gas in the pyloric region which is outside the lumen but still contained by the edematous wall. No free gas. Left paraumbilical hernia containing intra-abdominal fat which is mildly stranded. The hernia has a relatively small neck for the size of the herniated fat. Clinical assessment for reducibility and focal tenderness recommended.
Case Discussion
Peptic ulcer in the pyloric region with early localized/contained perforation.
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