上消化道造影是检查上消化道病变的主要手段。在检查过程中球部发生溃疡穿孔较少见,我院发生一例,现将本病例报告如下。 1.病例介绍 患者,男,46岁,自述上腹部疼痛数年,春秋加重,间有反酸,腹胀,呕吐等症状,经断续治疗未愈,近日自觉疼痛加重,住院就诊。钡餐检查食道未见异常,胃张力低,胃内见中等量贮留液及部分食物残渣。检查过程中球部较长时间未能充盈经反复挤压可见球部溃疡变形。于上消化道钡餐检查后5小时腹痛加重,重新胸腹 Upper gastrointestinal imaging is to check the main means of upper gastrointestinal lesions. Occurred during the ball ulcer perforation is less common in our hospital, an example of this case is now reported as follows. 1. Case description Patients, male, 46 years old, read the report of upper abdominal pain for several years, the spring and autumn increased, between the acid reflux, bloating, vomiting and other symptoms, after intermittent treatment healed, recently consciously increased pain, hospitalization. Barium meal examination of the esophagus no abnormalities, low gastric tension, stomach, see medium volume retention solution and some food residue. Check the course of the ball for a long time failed to fill by squeezing visible spherical ulcer deformation. In the upper gastrointestinal barium meal examination 5 hours after abdominal pain aggravated, re-abdominal