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Ihsanul Irfan

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Peritonitis

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Perforasi duodenum

mottled gas in central abdomen

(arrow)

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CT conrms extraluminal retroperitoneal gas fromiatrogenic bowel perforation during sphincterotomy

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Pneumoperitoneum

Caused by bowel perforation

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Perforated duodenal ulcer

43 year old man presented with acute abdominal pain ! chestradiograph showed free gas under the diaphragm Trans"erse CTimage on the left shows the free gas anterior to the li"er (yellowarrow)# as well some free $uid (white arrow) %n the coronal image(middle and# magnied# right) you can see the defect (arrow) in thewall of the duodenum (&)# due to a perforated peptic ulcer

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4yearold female patient with sudden onset of abdominal pain#nausea# and "omiting diagnosed with *e*unal di"erticulosis and

perforation +pright abdominal ,ray image shows small bowelobstruction and air$uid area (arrow)

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Contrastenhanced abdominal CT image shows two *e*unaldi"erticula (arrows) &irection of the di"erticula from theirorigin is shown with dashed white arrows (-. -e*unum)

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