Severe abdominal pain in a post-menopausal obese female

ABSTRACT

A 56-year-old female came to emergency department with complaints of severe abdominal pain in the epigastric region with abdominal distention. She had also complained of fever. No significant past medical or surgical history was available. Her pulse rate and respiratory rate were 110/min and 26/min, respectively. On examination of abdomen, belly was distended with guarding and rigidity and periumbilical ecchymosis. She was post-menopausal. Per-vaginal and per-rectal examination were normal