Presentation
Abdominal pain and vomiting.
Patient Data
Computed tomography with intravenous contrast mages shows important distention of the gastric chamber with transmural ulceration and parietal thickening in the small gastric curvature/antrum with adjacent small foci of pneumoperitoneum, associated with fluid collection in this topography extending into the left anterior pararenal space. Findings related to perforated gastric ulcer blocked by adjacent collection.
Red arrow: gastric wall irregularity and discontinuity due to the gastric ulcer perforation.
Blue arrow: a small focus of parietal gas.
* collection adjacent to the peptic gastric ulcer perforation.
Note: important distention of the gastric chamber.
Case Discussion
Peptic ulcer disease is an inflammatory condition of the gastric and/or duodenal mucosa. Chronic ulcers can be asymptomatic and presented as a complication such as bleeding or perforation. Gastric ulcers of the anterior wall and curvatures perforated freely into the peritoneal space and are the most common cause of spontaneous pneumoperitoneum. Posterior ulcers can perforate into the retroperitoneal space.
The case diagnosis was confirmed during the surgical treatment.
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