Peptic ulcer perforation: sonographic imaging of active fluid leakage.
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.
Minardos
Ioannis
I
Department of Radiology, General Hospital of Nikea-Piraeus, Dimitriou Mantouvalou 3, 184 54 Nikea-Piraeus, Greece.
Ioannis
Minardos
M
Ziogana
Dimitra
D
Dimitra
Ziogana
Z
Hristopoulos
Hristos
H
Hristos
Hristopoulos
H
Dermitzakis
Ioannis
I
Ioannis
Dermitzakis
D
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