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Related Experiment Videos

Peptic ulcer disease: CT evaluation.

J M Jacobs1, M C Hill, W M Steinberg

  • 1Department of Radiology, George Washington University Medical Center, Washington, DC 20037.

Radiology
|March 1, 1991
PubMed
Summary
This summary is machine-generated.

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Computed tomographic (CT) scans can detect complications of peptic ulcer disease, such as perforation and penetration, even when clinically unsuspected. However, CT is not useful for diagnosing uncomplicated peptic ulcers.

Area of Science:

  • Radiology
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Peptic ulcer disease is a common condition.
  • Complications like perforation and penetration require prompt diagnosis.
  • Computed tomography (CT) is a widely available imaging modality.

Purpose of the Study:

  • To retrospectively evaluate the computed tomographic (CT) findings in patients with peptic ulcer disease.
  • To determine the utility of CT in diagnosing peptic ulcer disease complications.

Main Methods:

  • Retrospective review of CT scans from 35 patients with peptic ulcer disease.
  • Analysis of CT findings in relation to clinical presentation and diagnosis.

Main Results:

Related Experiment Videos

  • CT identified bowel-wall thickening in 3/8 patients with gastritis/duodenitis.
  • CT detected ulcer perforation (n=2) or penetration (n=8) in 10/27 patients.
  • Pneumoperitoneum and contrast extravasation were seen in free perforations.
  • CT showed inflammatory changes in adjacent tissues in cases of penetration.
  • CT was not useful for detecting uncomplicated peptic ulcer disease.

    • Conclusions:

    • CT can reveal signs of peptic ulcer disease complications like perforation and penetration.
    • CT findings of penetration may mimic other conditions.
    • CT is not effective in diagnosing uncomplicated peptic ulcer disease.