A 48 year old male with the history of chronic duodenal ulcer presented in surgical emergency with the complaints of sudden severe pain in the abdomen.
At presentation:
Pulse = 120/m, BP = 90/60 mm of Hg
Abdomen: Tenderness (+), Rigidity (+), Guarding (+)
Respiratory Rate: 20/m
X-ray: Gas under right dome of diaphragm
The probable diagnosis is:
(a) Acute appendicitis
(b) Acute Pancreatitis
(c) Acute Myocardial infraction
(d) Perforation Peritonitis
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ANS- (d) Perforation Peritonitis