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Perforated duodenal ulcer

Case contributed by Dr Ammar Haouimi


Acute epigastric pain.

Patient Data

Age: 40 years
Gender: Male

Small air-bubbles are noted within the peritoneal cavity mainly around the liver and gallbladder (see annotated images) with subhepatic and mesenteric fat stranding and minimal free fluid in the pelvic region.

A focal mural defect of the 2nd part of the duodenum is noted which may indicate the site of the duodenal perforation (see annotated images).

Annotated image

Annotated images:

  • red arrows: extraluminal air-bubbles
  • yellow arrows: site of perforation

Case Discussion

The clinical presentation and CT features are most consistent with a pneumoperitoneum secondary to a perforated duodenum which was confirmed at surgery as a perforated duodenal ulcer.

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Case information

rID: 86199
Published: 24th Jan 2021
Last edited: 27th Jan 2021
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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