Perforated peptic ulcer

Case contributed by Francis Fortin
Diagnosis certain

Presentation

Abdominal pain

Patient Data

Age: 40 years
Gender: Male
ct

There is inflammatory fat stranding mostly around the area of the gastric antrum with a hypodense transmural tract superiorly (better seen on coronal views). Associated pneumoperitoneum and free intraperitoneal fluid suggest a perforated gastric ulcer.

Case Discussion

Subsequent surgery confirmed a perforated peptic ulcer.

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