Perforated peptic ulcer

Case contributed by Dr Saeed Soltany Hosn

Presentation

Severe abdominal pain and hematemesis

Patient Data

Age: 68 years old
Gender: Male
CT

Contrast-enhanced abdominal CT scan with oral contrast shows free extravasation of oral contrast material. There is also a large amount of free intraperitoneal air and fluid.

Case Discussion

Features are consistent with perforated peptic ulcer. The patient went on to have a laparotomy which confirmed the diagnosis of a perforated gastric ulcer.

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Case information

rID: 22489
Case created: 3rd Apr 2013
Last edited: 21st Mar 2016
Tag: stomach
Inclusion in quiz mode: Included

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