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Perforated duodenal ulcer with formation of abscesses

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Known history of peptic ulcer disease.

Patient Data

Age: 65 years
Gender: Male

There is a retrogastric fluid collection (6 x 4 cm) with peripheral enhancement and perilesional fat stranding, communicating with the duodenal bulb through a fistulous tract. This fluid collection seems to be in continuity with another small fluid collection (2 x 1.7 cm).

Case Discussion

The clinical history and CT features are highly suggestive of a perforated duodenal ulcer with formation of abscesses.

 

Additional contributors/ T. Arar, MD CHU Batna,  A, Ramdani, MD CIM Aurès 

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