Gastric ulcer bleeding: diagnosis by computed tomography

A case of CT demonstration of a bleeding gastric ulcer is presented, in a p atient with confusing clinical manifestations. Abdominal CT was performed w ithout oral contrast medium administration, and showed extravasation of int ravenous contrast into a gastric lumen distended with material of mixed att enuation. It is postulated that if radiopaque oral contrast had been given, peptic ulcer bleeding would probably have been masked. CT demonstration of gastric ulcer bleeding, may be of value in cases of differential diagnosti c dilemmas. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.