Image Based Question-71132

Question

A 56-year-old man, complained of sudden onset of severeepigastric pain for one day. General examination revealed that the patient was afebrile but in severe pain.
Abdominal examination showed generalized tenderness and guarding of the abdomen with ‘board like’ rigidity. Laboratory investigations were essentially normal.
An erect chest x-ray (CXR) was performed as initial investigations.What can be the most probable diagnosis?

A. Intestinal Obstruction

B. Acute Appendicitits

C. Pneumoperitoneum

D. Acute Pancreatitis

 

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