Since drug for peptioc ulcer treatment including tagament and losec, takepro

the case number of PPU decaresed steeply

however, never forget PPU

1. routine CXR is indicated for patient admit and kept at ER
2. close monitior the symtom change of gastritis, if the epigstralgia became more severe and abdominal guarding comes out, the possibility of PPU should be considered

case report

, male 60y/o

epigastric pain and vomiting

treated as gastritis

PES was arranged

CXR revealed intraabdoominal free air, but delayed about 10 hours