PMC8450547_01
What was thought to be a perforated duodenal ulcer and a thin wisp of contrast adjacent to 3 extraluminal foci of gas, denoted by the yellow arrow, turned out to be a perforated jejunal diverticula visualized during surgery.
10.1177_23247096211045254-fig1.jpg
PMC8450547_01_10.1177_23247096211045254-fig1.jpg
fig1-23247096211045254
Surgery was consulted, and a second CT scan was performed with contrast, which showed free retroperitoneal air adjacent to thickened distal duodenum consistent with perforated duodenal ulcer, and a thin wisp of contrast was noted that appeared to extend to an extraluminal focus of gas as seen in Figure 1.