A 34 year morbidly obese (BMI = 45kg/m 2 ), febrile, pale (Haematocrit = 9g/dl) grand multipara lady developed a spontaneous wound around right para-umbilical region started as boil, it ruptured and started discharging purulent pus associated fever, colicky central abdominal pain, nausea and non projectile vomiting of recently ingested fluid. One week to presentation she started discharging feacal material from the wound site. She was found anicteric and with no pedal edema. However, she has uncontrolled diabetes mellitus for past 2 years.
Further examination revealed she has high BP (170/80 mm of Hg) and elevated uric acid. What is your diagnosis? Source: Pan African Medical Journal (Detailed citation will be revealed with the explanation) *This case is from Docplexus Editorial Team for educative purpose only.
