Perforated Duodenal Ulcer Presenting With Subphrenic Abscess
Perforated Duodenal Ulcer Presenting With Subphrenic Abscess
Here we report a case of a perforated duodenal ulcer complicated by a right subphrenic abscess, first revealed on abdominal X-ray film and then confirmed by contrast-enhanced MDCT. While subphrenic abscesses are well known complications of perforated gastric or duodenal ulcers, they have nowadays become rare thanks to advances in both diagnostic and therapeutic strategies for peptic ulcer disease. However, when peptic ulcer disease is not clinically suspected, the contribution of imaging may be substantial.
Conclusions
Here we report a case of a perforated duodenal ulcer complicated by a right subphrenic abscess, first revealed on abdominal X-ray film and then confirmed by contrast-enhanced MDCT. While subphrenic abscesses are well known complications of perforated gastric or duodenal ulcers, they have nowadays become rare thanks to advances in both diagnostic and therapeutic strategies for peptic ulcer disease. However, when peptic ulcer disease is not clinically suspected, the contribution of imaging may be substantial.
