August 2, 2013

Quiz: Acute Abdomen with UGIB

This 33 years old lady presented with vomiting out blood, passing out blackish discoloration of the stool and abdominal pain.

This is her erect chest X ray film. Explained your finding and possible diagnosis


The chest X ray erect film shows gas under the left diaphragm and the diagnosis is perforated gastric ulcer.

Note: laparotomy was done in this patient and noted finding of large PGU but still managed to be repaired with Graham's patches

For further discussion on this topic, click

Image of the Day 18: Perforated Viscus [Link]
Chest X Ray: Air Under Diaphragm [Link]

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