Presentation
Patient is post duodenal dilatation for gastric outlet obstruction secondary to head of pancreas tumor now with epigastric/RUQ tenderness and guarding
Patient Data
Age: 50 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/88687/annotated_viewer_json?lang=us"}
Extensive pneumoperitoneum.
CBD stent in situ.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/88684/annotated_viewer_json?lang=us"}
Extensive pneumoperitoneum.
Case Discussion
Perforation of the stomach along the lesser curvature in a patient with obstruction of the duodenum secondary to a mass at the head on the pancreas.
The site of perforation is not always close to the site of obstruction.
Long periods of dilatation render the wall of the proximal structures friable and more prone to perforation.
Unable to process the form. Check for errors and try again.