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Sonographic diagnosis of recurrent ulcer penetrating the anterior abdominal wall
Author(s) -
Sezgin Orhan,
Parlak Erkan,
Gürkaynak Gönül,
Temuçin Gülay
Publication year - 2000
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(200002)28:2<94::aid-jcu7>3.0.co;2-y
Subject(s) - medicine , abdominal wall , abdomen , radiology , surgery , general surgery
Penetration of a recurrent ulcer into the anterior abdominal wall after surgical treatment of peptic ulcer disease is a rare surgical emergency. Early diagnosis is essential, but there are no specific radiographic or endoscopic features. We report 2 cases of recurrent ulcer penetration into the anterior abdominal wall diagnosed preoperatively with transabdominal sonography. The ulcers appeared as cavity lesions, with hyperechoic bases that had destroyed the continuity of the stomach wall. Associated findings were a minimal amount of fluid around the ulcer cavity and a hypoechoic area considered secondary to inflammation or edema. The diagnoses were confirmed at laparotomy. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:94–97, 2000.