Periportal free gas sign of upper gastrointestinal perforated viscus

Case contributed by Dr Pooya Bahari Khorram


Acute abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Free intra-peritoneal gas in the lesser sac and around the main portal and left veins.

Case Discussion

Free gas in the periportal region, without evidences of gas in portal vein wall, is highly suggestive for upper GI visceral perforation. The patient went onto upper endoscopy and a perforated peptic ulcer was identified the in lesser curvature of the stomach.

PlayAdd to Share

Case information

rID: 54163
Published: 27th Jun 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.