Perforated duodenal ulcer with abscess formation

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Two weeks history of right upper abdominal and epigastric pain.

Patient Data

Age: 60 years
Gender: Male

There is a small fluid collection within the segment IV of the liver with mild peripheral enhancement in continuity with a fistulous tract extending from the wall of the first part of the duodenum (well-visualized on zoomed images).

Case Discussion

 CT findings are most consistent with a perforated duodenal ulcer with a small abscess formation within segment IV of the liver which was confirmed at surgery.

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