Presentation
Acute onset of abdominal pain.
Patient Data
Age: 25 years
Gender: Male
From the case:
Perforated duodenal ulcer with peritonitis
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The CT scan demonstrates:
- focal mural defect of the duodenal bulb (see annotated images) with adjacent fat stranding and small air-bubbles
- free air within the peritoneal cavity mainly around the liver and spleen (pneumoperitoneum)
- free fluid in the peritoneal cavity mainly in the pelvic region with mesenteric fat stranding and thickening of the peritoneal reflections
- paralytic ileus
From the case:
Perforated duodenal ulcer with peritonitis
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Annotated images: the white arrow indicates the site of duodenal perforation.
Case Discussion
CT features of perforated duodenal ulcer with secondary acute peritonitis that was confirmed at surgery.