Open AccessUltrasound diagnosis of peptic ulcer perforation - a case report
Author(s) -
Dragana Petrović,
Predrag Petrović,
Nataša Prvulović-Bunović
Publication year - 2020
Publication title -
medicinski pregled
Language(s) - English
Resource type - Journals
eISSN - 1820-7383
pISSN - 0025-8105
DOI - 10.2298/mpns2004112p
Subject(s) - medicine , pneumoperitoneum , perforation , radiology , lesion , surgery , abdomen , ultrasound , peptic ulcer , peptic , surgical emergency , laparoscopy , materials science , metallurgy , punching
. Peptic ulcer perforation is an urgent, life-threatening condition that requires prompt diagnosis and emergency surgical treatment. It is a focal defect of the pylorobulbar zone that affects all the layers and allows intraluminal content to leak into the peritoneal/retroperitoneal cavity. The aim of this study is point to ultrasonography as a good diagnostic modality in identifying peptic ulcer perforation when it is clinically unrecognized. Case Report. We report a case of a 36-year-old man who came to the Emergency Center of the Clinical Center of Vojvodina complaining of a sudden severe pain in the entire abdomen. The patient reported previous dyspeptic symptoms. Emergency transabdominal ultrasonography was perfomed, and a peptic ulcer perforation was suspected. It significantly shortened the time to urgent surgical treatment and the diagnosis was confirmed. Conclusion. Pneumoperitoneum, collection of extraluminal free fluid with gas bubbles around the lesion, inflammatory thickening and discontinuity of the pylorobulbar wall, with or without focal hyperechogenic line (perforation zone) are ultrasound findings suggestive of peptic ulcer perforation.