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
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Axial zoomed
images
This study is a stack
Coronal
zommed images
This study is a stack
Sagittal
zommed images
Download
Info

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.