title: Peptic ulcer perforation: sonographic imaging of active fluid leakage.
abstract: 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.
authors.affiliation: Department of Radiology, General Hospital of Nikea-Piraeus, Dimitriou Mantouvalou 3, 184 54 Nikea-Piraeus, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Minardos
authors.forename: Minardos
authors.initials: M
authors.lastname: Ioannis
authors.forename: Dimitra
authors.initials: D
authors.lastname: Ziogana
authors.forename: Ziogana
authors.initials: Z
authors.lastname: Dimitra
authors.forename: Hristos
authors.initials: H
authors.lastname: Hristopoulos
authors.forename: Hristopoulos
authors.initials: H
authors.lastname: Hristos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Dermitzakis
authors.forename: Dermitzakis
authors.initials: D
authors.lastname: Ioannis
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010439:Peptic Ulcer Perforation / Q000150:complications / Q000000981:diagnostic imaging*; D014463:Ultrasonography