<prompt> Patient is on Autocoids for 1 year now complains of severe pain Epigastrium relieved by antacid drugs. He complaints of Right Iliac fossa pain and loss of liver dullness. Diagnosis is:Perforation of duodenumDiverticulitisGastroenteritisEnteric perforation  <response>: Ans. a Perforation of duodenum This is a clear-cut case of drug induced ulcer and perforation - Duodenal ulcer perforation Features are diffuse abdominal pain with right iliac fossa pain due to tracking of pus in right colic gutter - Valentino Syndrome Obliteration of liver dullness Board like rigidity 