Presentation
Sudden onset of severe epigastric pain.
Patient Data
Age: 50 years
Gender: Female
From the case:
Perforated gastric ulcer with pneumoperitonum
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The CT scan images demonstrate:
- a focal defect of the anterior gastric wall at the greater curvature with adjacent perigastric fat stranding as well as fluid collection
- a large amount of free gas within the peritoneal cavity mainly around the liver, spleen and within the umbilical hernia with moderate thickening and enhancement of the peritoneal reflections
- small adrenal nodules (incidentalomas), one on the right and two on the left (the mean density on non-contrast CT was 2 HU), probably adenomas
From the case:
Perforated gastric ulcer with pneumoperitonum
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Annotated images: the red arrow indicates the site of gastric perforation.
Case Discussion
CT features of perforated gastric ulcer with pneumoperitoneum and focal peritonitis that was confirmed at surgery.
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