https://scholars.lib.ntu.edu.tw/handle/123456789/541310
標題: | Preoperative diagnosis of perforated duodenal ulcer by sonography: Report of a case | 作者: | HSIU-PO WANG Chang Y.-S. Tsai K.-C. GUAN-TARN HUANG Wang S.-M. |
關鍵字: | Perforated peptic ulcer; Perforated tract; Sonography | 公開日期: | 1997 | 出版社: | Elsevier (Singapore) Pte Ltd | 卷: | 5 | 期: | 3 | 起(迄)頁: | 109-111 | 來源出版物: | Journal of Medical Ultrasound | 摘要: | Acute abdomen is one of the chief problems encountered by physicians in the emergency service. Perforated peptic ulcer (PPU) is one cause of acute abdomen in which there should be no delay in diagnosis and management. Delayed diagnosis will lead to a high risk of mortality, especially for the elderly. Traditionally, a pneumoperitoneum on imaging studies with a related medical history suggests a diagnosis of PPU. However, relying on the presence of free air on imaging studies, one-quarter to one-third of cases with PPU may be missed. The case of a 62-year-old man with right upper quadrant tenderness and rebound pain is presented here. Detailed sonographic survey revealed a perforated tract on the anterior wall of the duodenal bulb but no free air. A preoperative diagnosis of PPU was made by sonography instead of acute cholecystitis suggested by computed tomography. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030727985&partnerID=40&md5=f4a71c9cf5455e8ecded88c4e9ad60f6 https://scholars.lib.ntu.edu.tw/handle/123456789/541310 |
SDG/關鍵字: | acute abdomen; acute cholecystitis; adult; article; case report; computer assisted tomography; duodenum ulcer; echography; human; laparotomy; male; preoperative evaluation; ulcer perforation |
顯示於: | 醫學系 |
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