ABSTRACT
A A 25-year-old female complains of severe pain in her central lower abdomen of 4 hours duration. She feels faint, is very thirsty and is unsure about her last menstrual period. On examination she is in agony, looks pale and is cold, clammy and sweaty. She is apyrexial with marked tenderness, rigidity and rebound tenderness over her entire lower abdomen. She has a Cullen’s sign.
