Premium
Sonographic diagnosis of a small fistulous communication between a subphrenic abscess and a perforated duodenal ulcer
Author(s) -
Chau WingKay,
Chan SiuCheung
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(200003/04)28:3<153::aid-jcu10>3.0.co;2-x
Subject(s) - medicine , duodenum , subphrenic abscess , abscess , echogenicity , radiology , fistula , antrum , surgery , lesion , ultrasonography , stomach
We report a case of a fistula between a subphrenic abscess and a perforated duodenal ulcer diagnosed by sonography and confirmed by CT. The sonographic findings included a subphrenic fluid collection connected to the anterior aspect of the superior duodenum by a nonpulsatile, anechoic tubular lesion. Manual compression of the upper epigastrium resulted in movement of echogenic debris from the antrum and superior duodenum through the fistulous tract into the abscess. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:153–156, 2000.