Gastric ulcer penetrating the anterior abdominal wall: ultrasound diagnosis

Abstract

We report two rare cases of penetration of the anterior abdominal wall by gastric peptic ulcers. The full diagnosis was made by ultrasound, which showed similar findings: sharply delineated, hyperechoic craters clearly traversing the gastric wall and covered by hypoechoic inflammatory components of the abdominal wall. Because ultrasound is increasingly used as a primary procedure for evaluation of abdominal complaints, efforts should be directed toward exploring the accessible portions of the gastric and duodenal walls to detect peptic ulcer disease and its complications.

Intestinal adhesion due to previous uterine surgery as a risk factor for delayed diagnosis of uterine rupture: a case report

“…We cannot exclude the possibility that intestinal adhesion might have been a coincidental phenomenon. However, two patients were reported in whom gastric peptic ulcer perforation was covered by the adhesion of the abdominal wall to the perforation sites, which masked typical symptoms and signs of gastric ulcer perforation [7]. We note the similarity between these two cases and the present case.…”

Feasibility of ultrasonography in determining the diagnosis and treatment of perforated duodenal ulcer

“…[3][4][5][6] When an edematous duodenal bulb is scanned with ultrasound, a hyperechoic band perforating the wall from the duodenal lumen is often visible, occasionally extending into the liver (Fig. 6).…”

Occluded uterine rupture: Preventing catastrophe, preventing early diagnosis

“…Ultrasound provided a diagnosis: perforation was covered by the abdominal wall. 3 Clinical features common to these cases were (i) abdominal pain occurred first; (ii) severe symptoms and signs, such as severe pain, circulatory collapse, or fetal compromise (in the cases of uterine rupture) were absent; and (iii) ultrasound or CT revealed the rupture or perforation. The uterine rupture or the gastric perforation was occluded or covered by a minor fetal part (fetal leg[s]) or by the abdominal wall, respectively.…”

“…Two patients with gastric ulcer perforation complained of moderate abdominal pain or painful induration of the abdominal wall, respectively, without severe symptoms/signs characteristic of perforation. Ultrasound provided a diagnosis: perforation was covered by the abdominal wall 3 …”