title: Radionuclide detection of duodenal ulcer perforation.
abstract: 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.
authors.affiliation: Department of Radiological Sciences, University of California, Irvine, Orange 92668.
authors.forename: G R
authors.initials: GR
authors.lastname: Applegate
authors.forename: P
authors.initials: P
authors.lastname: Braunstein
authors.forename: F L
authors.initials: FL
authors.lastname: Wang
mesh_terms: 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
chemical_list: D013671:Technetium Tc 99m Sulfur Colloid