Male, 30 years old, with sudden mid-upper abdominal knife-cutting pain for 3 hours to see a doctor. Physical examination: total abdominal tenderness, rebound pain, and muscle tension. An upright abdominal radiograph showed free air under the diaphragm. It is speculated that the cause of the patient's peritonitis is: Subphrenic abscess Intestinal abscess Pelvic abscess Rupture of the spleen Gastroduodenal perforation
1. Male, 30 years old, with sudden mid-upper abdominal knife-cutting pain for 3 hours to see a doctor. Physical examination: total abdominal tenderness, rebound pain, and muscle tension. An upright abdominal radiograph showed free air under the diaphragm. It is speculated that the cause of the patient's peritonitis is:
- Subphrenic abscess
- Intestinal abscess
- Pelvic abscess
- Rupture of the spleen
- Gastroduodenal perforation
2. Male, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is:
- Ulcer recurrence
- Postoperative input loop obstruction
- Output loop obstruction
- Remnant stomach cancer
- Gastric emptying disorder
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