Radionuclide detection of duodenal ulcer perforation.
An elderly obese male with a lengthy history of melanotic stools was admitted and was shown to have a posterior duodenal ulcer by endoscopy. He became obtunded and developed infected ascites. Because of his obesity, ascites, and inability to cooperate, the GI radiologist felt that a Gastrografin upper GI series would not be helpful. We therefore gave the patient 99mTc-labeled sulfur colloid and tap water through his nasogastric tube. We were able to clearly image a site of perforation at the duodenal bulb communicating with the lesser sac.
Applegate
G R
GR
Department of Radiological Sciences, University of California, Irvine, Orange 92668.
Braunstein
P
P
Wang
F L
FL
D000368:Aged; D001201:Ascites / Q000000981:diagnostic imaging; D004381:Duodenal Ulcer / Q000150:complications* / Q000000981:diagnostic imaging; D004384:Duodenoscopy; D004386:Duodenum / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008551:Melena / Q000000981:diagnostic imaging; D010439:Peptic Ulcer Perforation / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid; D014057:Tomography, X-Ray Computed
D013671:Technetium Tc 99m Sulfur Colloid