title: Preoperative sonographic diagnosis of sealed-off perforated gastric ulcer.
abstract: Perforated peptic ulcer (PPU) is a common surgical emergency. Early diagnosis and intervention are necessary to reduce the morbidity and mortality. Radiographic or sonographic detection of free air is neither sensitive nor specific for PPU. We report a case of sealed-off PPU with direct sonographic demonstration of the perforation tract within the anterior wall of the gastric antrum. The diagnosis was confirmed at laparotomy.
authors.affiliation: Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei.
authors.forename: K C
authors.initials: KC
authors.lastname: Tsai
authors.forename: H P
authors.initials: HP
authors.lastname: Wang
authors.forename: G T
authors.initials: GT
authors.lastname: Huang
authors.forename: S M
authors.initials: SM
authors.lastname: Wang
mesh_terms: D016481:Helicobacter Infections / Q000150:complications; D016480:Helicobacter pylori; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000000981:diagnostic imaging* / Q000601:surgery; D011300:Preoperative Care; D013276:Stomach Ulcer / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D014463:Ultrasonography