Pain at left shoulder tip in a patient with splenic trauma is known as: (A) Trosseu sign, (B) Kehr's sign, (C) Cullen sign, (D) Rovsing's sign
Answer is B. Referred pain is due to irritation of the diaphragm and phrenic nerves by the blood in the peritoneal cavity (hemoperitoneum). Reference SRB edition 5 page no.1196