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Gastric ulcer penetrating the anterior abdominal wall: ultrasound diagnosis

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We report two rare cases of penetration of the anterior abdominal wall by gastric peptic ulcers. The full diagnosis was made by ultrasound, which showed similar findings: sharply delineated, hyperechoic craters clearly traversing the gastric wall and covered by hypoechoic inflammatory components of the abdominal wall. Because ultrasound is increasingly used as a primary procedure for evaluation of abdominal complaints, efforts should be directed toward exploring the accessible portions of the gastric and duodenal walls to detect peptic ulcer disease and its complications.

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Coulier, B., Maldague, P. & Broze, B. Gastric ulcer penetrating the anterior abdominal wall: ultrasound diagnosis. Abdom Imaging 28, 0248–0251 (2003).

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