This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Positive Kehr&;s sign is 
Select and explain. 
A. Haemopeionium, B. Acute cholecystitis, C. Acute pancreatitis, D. Amoebic abscess
A: Haemopeionium
Answer: A: Haemopeionium 
Explanation: Collection of clot under the left diaphragm irritate it and the phrenic nerve causing referred pain to the left shoulder - Kehr&;s sign and there may be associated left-sided fracture of ribs resulting in hemithorax or haemoperitoneum. SRB 5 th edition page no. 670