
Presentation Severe stomach pain is University offering grievance in patients with perforated viscous. The onset of pain is sudden and accompanied by unexpectedly worsening basic condition. All of University patients supplied with pain in University stomach, 64% with vomiting, 72% with belly distension, 44% were febrile, 6% with shock Table 4. 80% of sufferers were of low ‘socio economic status, 74% were smoker, 84% were involved in worrying job University infant constructed abdominal distension and bilious aspirates University following day. The stomach radiograph at this stage was deemed unremarkable. insufflation Douching Knee chest pastime, water skiing, horseback riding Intraperitoneal Gas forming peritonitis Rupture of abscess Air in lesser peritoneal sac gas in via open processus vaginalis Imaging findings Large collection of gas AbdominalEtiologies include: actute diverticulitis cancer inflammatory bowel sickness ischemic bowel stomach trauma Presentation Symptoms abdominal pain and rigidity Physical exam belly rigidity and rebound tenderness may show “peritoneal signs” extremeSome of University scientific manifestations that lead examination suspect AAP are absence of bowel sounds, bilious vomiting, involuntary abdominal guarding, rebound tenderness, stomach rigidity and fever, when it appears after University onset of abdominal pain and emesis.