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Preoperative sonographic diagnosis of sealed-off perforated gastric ulcer

✍ Scribed by Tsai, Kuang-Chau; Wang, Hsiu-Po; Huang, Guang-Tang; Wang, Shih-Ming

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 151 KB
Volume: 26
Category: Article
ISSN: 0091-2751
DOI: 10.1002/(sici)1097-0096(199806)26:5<269::aid-jcu8>3.0.co;2-a

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✦ Synopsis

Perforated peptic ulcer (PPU) is a common surgical emergency. Early diagnosis and intervention are necessary to reduce the morbidity and mortality. Radiographic or sonographic detection of free air is neither sensitive nor specific for PPU. We report a case of sealed-off PPU with direct sonographic demonstration of the perforation tract within the anterior wall of the gastric antrum. The diagnosis was confirmed at laparotomy.

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