Presentation
Severe abdominal pain and hematemesis
Patient Data
Age: 68 years old
Gender: Male
From the case:
Perforated peptic ulcer
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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.