CASE HISTORY / CLINIC:
32-year-old patient with severe abdominal pains.


FINDINGS:
Demonstration of free air below the abdominal wall in the abdominal CT scan done after i.v and oral application of contrast medium. Fluid collection (possibly blood) mixed with contrast material. Pure contrast material and air-fluid level in between.


DIAGNOSIS:
Perforated hollow organ, in this case duodenal ulcer, with leakage of contrast material into the abdominal cavity. Pneumoperitoneum.

Web resources:

1) Medicine worldwide
2) TU München
3) Chorus
4) AHC-Consilium