A male with Acute Abdomen

A male aged 44 years Chief Complaints Sudden onset Severe Pain Abdomen (Diffuse, Persistent) Non passage of Flatus Vomiting (x 6 hrs) Physical Examination P/A- Distended, Tenderness(++) BS(-) Investigations Xray Abdomen

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Lot of air in peritoneal cavity with distension and diffuse tenderness and negative bowel sounds H/o flatus not passed Acute abdomen PERFORATION likely intestinal or peptic ulcer

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Intestinal obstruction & perforation Leading to pnumoperitoneum

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Pneumoperitoneum. Consider intestinal perforation.

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PNEUMOLEEITONEUM MOST PROBABLY A/W INTESTINAL PERFORATION

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Pneumoperitoneum Needle decompression is the immediate treatment of choice, followed by surgery in most cases.

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