Presentation
Diffuse abdominal pain exacerbated by eating, accompanied by nausea and anorexia for three days. History of using ibuprofen, diclofenac, and colchicine intake for the management of back pain and gout.
Patient Data
Large amount of free fluid in the abdomen and pelvis with turbid content.
Free air under diaphragm, consistent with pneumoperitoneum.
Focal defect in the posterior part of the gastric antral wall, measuring 4 mm in the anteroposterior diameter, associated with extraluminal contrast extravasation and gas locules in the lesser sac.
Large volume of pneumoperitoneum.
A significant amount of relatively dense abdominal and pelvic free fluid.
Other study findings:
mild amount of pleural effusion, more on the left side
multiple hepatic and renal cysts and a small hepatic hemangioma
thoracolumbar spine degenerative changes
Case Discussion
Findings represent the perforation of a gastric ulcer in the posterior antral wall.
Gastrointestinal perforation, a critical surgical condition involving leakage of digestive contents into the abdomen, poses significant life risks. Primarily caused by spontaneous peptic ulcer perforation.
The main risk factors for peptic ulcer perforation are non-steroidal anti-inflammatory drugs and Helicobacter pylori infection.
Unfortunately, further clinical or imaging follow-up is not available for this case.
Unable to process the form. Check for errors and try again.