Fever for 3-4 days. Abdominal pain for 1 day. Increased for few hours.
Lab studies indicated typhoid fever.
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There is free fluid in pelvis and right iliac fossa with tiny mobile echoes within.
Left lobe of liver in supine position: there is increased echogenicity of the peritoneal stripe with reflection artifact involving the peritoneal stripe, compatible with pneumoperitoneum.
Free intra-peritoneal air suggests perforation of hollow viscus.