Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2021; 9(29): 8858-8863
Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8858
Diagnosis of upper gastrointestinal perforation complicated with fistula formation and subphrenic abscess by contrast-enhanced ultrasound: A case report
Ting-Ting Qiu, Rong Fu, Yan Luo, Wen-Wu Ling
Ting-Ting Qiu, Rong Fu, Yan Luo, Wen-Wu Ling, Department of Medical Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Ling WW performed the contrast-enhanced ultrasound examination and supervised the writing and revision of the manuscript; Qiu TT performed the literature review and was a major contributor in writing the manuscript; Fu R and Luo Y supported the data collection and manuscript revision; all authors read and approved the final manuscript.
Supported by National Natural Science Foundation of China (NSFC), No. 82001833; Post-Doctor Research Project, West China Hospital, Sichuan University, No. 2019HXBH014; and Sichuan Science and Technology Program, No. 2020YFS0211.
Informed consent statement: Written informed consent for publication was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Wu Ling, MD, Associate Professor, Department of Medical Ultrasound, West China Hospital of Sichuan University, No. 37 Guoxue Xiang, Chengdu 610041, Sichuan Province, China. lingwenwubing@163.com
Received: May 30, 2021
Peer-review started: May 30, 2021
First decision: June 27, 2021
Revised: June 29, 2021
Accepted: August 16, 2021
Article in press: August 16, 2021
Published online: October 16, 2021
Core Tip

Core Tip: Gastrointestinal perforation complicated by subphrenic abscess is a surgical emergency that is diagnosed mainly by X-ray or computed tomography. We present a case diagnosed with upper gastrointestinal perforation complicated by fistula formation and subphrenic abscess, with the rare application of intravenous and intracavitary contrast-enhanced ultrasound (CEUS). This case highlights that CEUS provides helpful information for diagnosis, with the advantages of bedside availability, real-time application, convenience, economical aspect, and lack of radiation.