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  • Title: Sonographic diagnosis of a small fistulous communication between a subphrenic abscess and a perforated duodenal ulcer.
    Author: Chau WK, Chan SC.
    Journal: J Clin Ultrasound; 2000 Mar; 28(3):153-6. PubMed ID: 10679705.
    Abstract:
    We report a case of a fistula between a subphrenic abscess and a perforated duodenal ulcer diagnosed by sonography and confirmed by CT. The sonographic findings included a subphrenic fluid collection connected to the anterior aspect of the superior duodenum by a nonpulsatile, anechoic tubular lesion. Manual compression of the upper epigastrium resulted in movement of echogenic debris from the antrum and superior duodenum through the fistulous tract into the abscess.
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