Perforated peptic ulcer
Diagnosis certain
Updates to Case Attributes
Title
was changed:
Perforated PUDpeptic ulcer
Presentation
was changed:
Acute abdominal pain history. History of a car accident 1 week before.
Body
was changed:
The patient underwent emergent surgery; the surgeon found a perforated ulcer on the pyloric region. The enhancing thickened wall small bowel loops are likely are due to peritonitis.
-<p>The patient underwent emergent surgery; the surgeon found a perforated ulcer on the pyloric region. The enhancing thickened wall small bowel loops likely are due to peritonitis.</p>- +<p>The patient underwent emergent surgery; the surgeon found a perforated ulcer on the pyloric region. The enhancing thickened wall small bowel loops are likely due to peritonitis.</p>
Updates to Link Attributes
Title
was removed:
Type
was removed.
Visible
was set to
.
Updates to Primarylink Attributes
Updates to Study Attributes
Findings
was changed:
Dense moderateModerate volume of hyperdense ascites due to significant oral contrast leakage into the peritoneal cavity is present. Several foci of extraluminal air are visible in the upper abdomen. Some of the proximal small bowel loops show hyper-enhancing wall thickening. A small mural defect is seen at the peri-pyloric area's superolateral aspect, suggestive of perforated PUDpeptic ulcer disease.
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