This sign is found in:: (A) Splenic injury, (B) Perforative peritonitis, (C) Mesenteric vascular occlusion, (D) Gastric volvulus
Answer is A. Kehrs sign is seen in Splenic injury 
• Kehr’s sign is occurrence of pain in the tip of shoulder due to presence of blood/irritant in peritoneal cavity.
• Kehr’s sign in left shoulder is considered a characteristic sign of splenic rupture.
• Kehr’s sign is a classic example of referred pain (phrenic nerve)