title: Perforated pyloroduodenal peptic ulcer and sonography.
abstract: OBJECTIVE
  The purpose of this article is to illustrate the spectrum of sonographic findings in perforated pyloroduodenal peptic ulcer and discuss the potential role of sonography in the diagnosis.
  
  
  CONCLUSIONS
  Although sonography is not the first-line investigation of choice in suspected perforated peptic ulcer, understanding of the characteristic appearances seen during general abdominal sonography may aid the reader in the diagnosis of this important and sometimes overlooked cause of nonspecific abdominal pain. This may shorten time to the diagnosis and ultimate surgical management.
authors.affiliation: Department of Imaging, Hammersmith Hospital, London, United Kingdom. siarheikuzmich@yahoo.co.uk
authors.forename: Siarhei
authors.initials: S
authors.lastname: Kuzmich
authors.forename: Chris J
authors.initials: CJ
authors.lastname: Harvey
authors.forename: Daniel T M
authors.initials: DT
authors.lastname: Fascia
authors.forename: Tatsiana
authors.initials: T
authors.lastname: Kuzmich
authors.forename: Deena
authors.initials: D
authors.lastname: Neriman
authors.forename: Rizwan
authors.initials: R
authors.lastname: Basit
authors.forename: Kai Lee
authors.initials: KL
authors.lastname: Tan
mesh_terms: D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004381:Duodenal Ulcer / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000000981:diagnostic imaging*; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging; D013276:Stomach Ulcer / Q000000981:diagnostic imaging*; D014463:Ultrasonography