A 35-year-old man presents with sudden onset severe abdominal pain radiating to the back and hypotension. He reports a history of peptic ulcer disease...

Question

A 35-year-old man presents with sudden onset severe abdominal pain radiating to the back and hypotension. He reports a history of peptic ulcer disease. On examination, the abdomen is rigid. Free air under the diaphragm is visible on upright chest X-ray. What is the likely diagnosis?

Accepted Answer

Perforated peptic ulcer

Answer

Acute pancreatitis

Answer

Ruptured abdominal aortic aneurysm

Answer

Intestinal obstruction

Answer

Mesenteric ischaemia

Perforated peptic ulcer — MRCEM SBA MCQ

A 35-year-old man presents with sudden onset severe abdominal pain radiating to the back and hypotension. He reports a history of peptic ulcer disease. On examination, the abdomen is rigid. Free air under the diaphragm is visible on upright chest X-ray. What is the likely diagnosis?