Case Report

Perforated peptic ulcer imaged directly by computed tomography

W. K. Loftus, L. T.C Chow, C. Metreweli
South African Journal of Radiology | Vol 2, No 2 | a1587 | DOI: https://doi.org/10.4102/sajr.v2i2.1587 | © 2018 W. K. Loftus, L. T.C Chow, C. Metreweli | This work is licensed under CC Attribution 4.0
Submitted: 13 August 2018 | Published: 30 June 1997

About the author(s)

W. K. Loftus, Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong
L. T.C Chow, Department of Pathology, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong
C. Metreweli, Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong

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Abstract

Perforation occurs in 10% of patients with peptic ulcer. Computed tomography (CT) may show free intraperitoneal gas and/or extravasation of oral contrast. While the location of the free gas or contrast may suggest the site of perforation, the perforation itself is difficult to demonstrate. We present a case of perforated ulcer in which the perforation was imaged directly by CT.

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