Sonographic detection of intragastric blood clot

An intragastric blood clot suggested by sonography and later confirmed at upper gastrointestinal series and at gastroscopy is reported. Sonographic findings were a moveable mass within stomach presenting as an arc-like hyperechoic surface with a strong posterior resonance artifact. Compression of the mass with a transducer induced the mass to move from antrum to corpus within stomach. We think that the demonstration of a blood clot within stomach can be suggested on the basis of typical sonographic findings as a secondary sign of a bleeded gastric or duodenal ulcer.