Related Experiment Video
Updated: Aug 17, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Ultrasonic diagnosis of gastroduodenal perforation]
P V Lippolis1, G Ghiselli, F Sidoti
1Cattedra e Scuola di Specializzazione in Chirurgia d'Urgenza e Pronto Soccorso, Universitã degli Studi di Pisa.
Abstract:
Ultrasonography (US) is routinely used as a diagnostic approach in the surgical acute abdomen, even though its major limitation is the demonstration of the hollow viscus. In the present paper, the results obtained with US in 12 cases of gastric or duodenal perforations are reported. The diagnosis, of gastroduodenal perforation was correctly made in 58% of cases by means of US; in 91.7% of cases, at least one US finding correlable with gastroduodenal perforation was observed. Even though US exhibits poorer diagnostic sensitivity than conventional radiology, it can be considered a valuable diagnostic tool in the early diagnosis of gastroduodenal perforation especially when radiographic findings are negative.
Related Concept Videos
Assessment of the Abdomen II: Percussion
Percussion
Percussion is an essential...
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS):
Peptic Ulcer

