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Peptic ulcer perforation: sonographic imaging of active fluid leakage
Author(s) -
Ioannis Minardos,
Dimitra Ziogana,
Hristos Hristopoulos,
Ioannis Dermitzakis
Publication year - 2006
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/jcu.20181
Subject(s) - medicine , perforation , radiology , ultrasound , antrum , ultrasonography , abdominal pain , peptic , surgery , peptic ulcer , stomach , materials science , metallurgy , punching
Sonography is not the method of choice for the evaluation of suspected peptic ulcer perforation (PUP). However, indirect sonographic signs and direct visualization of PUP have been reported by several authors in recent years. We report a case of an elderly woman who presented with severe abdominal pain and positive rebound sign, in whom abdominal sonography demonstrated indirect signs of PUP, the site of perforation, and active air fluid leakage through the perforated anterior prepyloric antral wall. © 2006 Wiley Periodicals, Inc. J Clin Ultrasound 34 :38–41, 2006