Sonographic diagnosis of a small fistulous communication between a subphrenic abscess and a perforated duodenal ulcer

✍ Scribed by Chau, Wing-Kay; Chan, Siu-Cheung

• Publisher: John Wiley and Sons
• Year: 2000
• Tongue: English
• Weight: 249 KB
• Volume: 28
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/(sici)1097-0096(200003/04)28:3<153::aid-jcu10>3.0.co;2-x

✦ Synopsis

We report a case of a fistula between a subphrenic abscess and a perforated duodenal ulcer diagnosed by sonography and confirmed by CT. The sonographic findings included a subphrenic fluid collection connected to the anterior aspect of the superior duodenum by a nonpulsatile, anechoic tubular lesion. Manual compression of the upper epigastrium resulted in movement of echogenic debris from the antrum and superior duodenum through the fistulous tract into the abscess.