Abstract
An 82-year-old female with previous history of pancreatic cancer, duodenal ulcer perforation, hemigastrectomy, diabetes mellitus and hypertension, had developed generalised weakness, poor appetite, drowsiness and low abdominal discomfort for three days. Laboratory results revealed leukocytosis with left shift (WBC of 14700/ul and neutrophils of 91.7%) and urine analysis of RBC 15-20/HPF, WBC 3-5/HPF, and Nitrite (+). There were no fever, chills, respiratory symptoms nor gastrointestinal symptoms. Physical examination showed soft distended abdomen with hypoactive bowel sounds. Routine bedside ultrasound was arranged for septic survey and KUB was done for evaluation of low abdominal pain.
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