Department of Emergency Medicine

UMEM Educational Pearls

Title: What's the Diagnosis? Case by UMEM alumni Dr. Adeleke Oni

Category: Visual Diagnosis

Posted: 12/14/2015 by Haney Mallemat, MD
Click here to contact Haney Mallemat, MD

Question

A patient presents with the sudden of onset chest and abdominal pain which woke her up at 2am. She has abdominal tenderness and rebound on exam, what's the diagnosis?

Answer

Ruptured gastric ulcer with pneumoperitoneum (CT scan below)

References

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