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Wednesday, 28 November 2012

CASE 155: GASTRIC ULCER on ULTRASOUND, MEDIC MEDICAL CENTER, HCMC, VIETNAM


MAN 70 YO EPIGASTRIC PAIN FOR ONE MONTH.

FIST STEP IS ABDOMINAL ULTRASOUND FOR CHECKING LIVER, GALL BLADDER WHICH WERE NORMAL.

THEN ONE AIR SPOT WAS DETECTED IN THE WALL OF ANTRUM. THE AIR SPOT WAS STILL AT THIS SITE AFTER CHANGING POSITION; ARROUND THIS AREA THERE WERE  NOT INFILTRATION OR FLUID COLLECTION.



Gastroscopy detected crater ulcer at antrum. Biopsy was done with predictive benign ulcer.



Biopsy report was chronic ulcer with HP positive.

 
Until now ultrasound is not  useful for  diagnosing  gastric ulcer (see  reference).
 

But in some cases of crater ulcer we can make diagnosis as changing patient's position.

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