A sudden sharp dagger and constant epigastric pain. field or right upper quadrant, quickly spreading throughout the abdomen, usually on the right flank of the abdomen.
Tension the anterior abdominal wall, wooden belly. Patients taking a forced situation on the back or right side from here to the stomach down.
A history of peptic ulcer disease.
In the course of the disease is isolated:
period of shock (up to 6 hours of onset);
period of an imaginary being (6-12 hours after perforation);
period of progressive peritonitis (12-14 hours after perforation).