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Perforated gastric ulcer

Case contributed by Dr Henry Knipe


Epigastric pain and tenderness.

Patient Data

Age: 20 years
Gender: Female

Extensive free subdiaphragmatic gas.


There is a defect at the wall of the stomach adjacent to the left lobe of the liver. Extensive pneumoperitoneum. There is free fluid seen in the pelvis. Uncomplicated cholelithiasis.

Case Discussion

Classic example of gross pneumoperitoneum from a perforated gastric ulcer presenting as subdiaphragmatic free gas on chest x-ray. The patient report recent NSAID and heavy alcohol use.

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Case information

rID: 35354
Published: 4th Apr 2015
Last edited: 17th Jan 2020
Inclusion in quiz mode: Included

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