Duodenal Perforation



Duodenal Perforation


Shaun R. Rybak



CLINICAL HISTORY

80-year-old female with acute diffuse abdominal pain and bloating.






FIGURE 11A






FIGURE 11B






FIGURE 11C






FIGURE 11D


FINDINGS

Figure 11A: Axial contrast-enhanced CT image of the upper abdomen demonstrates pneumoperitoneum along the anterior abdomen (arrows). Figure 11B: Axial contrast-enhanced CT image of the upper abdomen demonstrates circumferential thickening of the duodenal bulb containing oral contrast. There is adjacent hyperdense fluid and a few tiny extraluminal air bubbles anterior to the duodenal bulb (arrows). Figure 11C: Axial contrast-enhanced CT image of the upper abdomen demonstrates a linear hyperdense tract extending from the lumen of the duodenal bulb through the wall, indicating oral contrast extravasation (arrow). Figure 11D: Axial contrast-enhanced CT of the pelvis demonstrates free fluid in the pelvic cul-de-sac (arrow).

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Aug 1, 2016 | Posted by in NEUROLOGICAL IMAGING | Comments Off on Duodenal Perforation

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