Question 36
A 35 year old male patient with enteric fever presents to the emergency with sudden onset of generalised abdominal pain, abdominal distension, nausea, vomiting and constipation for last 48 hours. On examination, patient is dehydrated with PR=110/min and BP=100/60 mm Hg. There is generalised tenderness, rebound tenderness present and board like rigidity on perabdomen examination. The most likely complication of enteric fever in this patient is