Perforated gastric ulcer

Case contributed by Dr Sebastian Tschauner


Patient with an episode of upper abdominal pain that had started three days ago.

Patient Data

Age: 70
Gender: Female


Free peritoneal gas is visualized predominantly in the upper abdomen. The perforation site is seen in the pyloric region / pyloric canal of the stomach. A small locoregional hyperdensity resembles a blood clot (compare contrast and non-contrast series).

There are moderate collections of free intraperitoneal fluid.

Liver, renal, and splenic cysts are noted.

Case Discussion

This case shows a perforated peptic ulcer of the stomach. The perforation site is visible on CT, located in the prepyloric region (Type III in the modified Johnson classification).

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Case information

rID: 44675
Published: 1st May 2016
Last edited: 8th Dec 2016
Inclusion in quiz mode: Included
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