Question

A 52-year-old man with a history of peptic ulcer disease presents with sudden onset severe epigastric pain radiating to the back, rigid abdomen and hypotension. He has been taking NSAIDs regularly. Which investigation is most appropriate to confirm suspected perforated peptic ulcer?

Accepted Answer

Erect chest X-ray looking for free subdiaphragmatic air

Answer

Supine abdominal X-ray only

Answer

Abdominal ultrasound

Answer

CT colonography

Answer

MRI abdomen

Practice question

A 52-year-old man with a history of peptic ulcer disease presents with sudden onset severe epigastric pain radiating to the back, rigid abdomen and hypotension. He has been taking NSAIDs regularly. Which investigation is most appropriate to confirm suspected perforated peptic ulcer?