Question

A 40-year-old man with known peptic ulcer disease presents with sudden onset severe epigastric pain radiating to the back. He is tachycardic and rigid on examination. Erect chest X-ray shows free air under the diaphragm. What is the most likely diagnosis?

Accepted Answer

Perforated peptic ulcer

Answer

Acute pancreatitis

Answer

Acute cholecystitis

Answer

Gastric carcinoma

Answer

Mesenteric ischaemia

Practice question

A 40-year-old man with known peptic ulcer disease presents with sudden onset severe epigastric pain radiating to the back. He is tachycardic and rigid on examination. Erect chest X-ray shows free air under the diaphragm. What is the most likely diagnosis?