perforation peritonitis

15yr old male who presented with a abdominal distension, vomiting and weight loss of 3months duration. Vomitus was bilious, projectile, aggravated by feeding. Examination findings revealed a chronically ill looking child, he was dehydrated, pale, anicteric, febrile, with mild bilateral pitting pedal edema. Abdomen was soft, full, moved with respiration with no areas of tenderness. Liver was enlarged 6cm below the subcostal margin, spleen and kidneys were not enlarged. Following several investigations and work up for surgery , this was seen by the surgeons on the operating table during an Ex-lap. What could have been their diagnosis from the brief history and clinical picture?

7 days mch with near term iugr admitted with vommitings and alterd aspirat cbc crp sr electrolytes was normal suggestions please...

A 26 year old patient presented with the severe abdominal pain.Pain started in the morning as dull pain and then turns into sharp unbearable pain. patient gives h/o abdominal surgery long time ago but does not provide any other information. what are the interpretations.

8 yr old female with pain in abdomen and distension of abdomen.. diagnosis??

2/ m child . Spot diagnosis child suffering vomiting and fever