A 35yr old male admitted with complains of Pain abdomen with non-passage of stool & flatus for 3-4 days and fever since 2 days. Clinically abdomen was tender with board like rigidity. Blood investigations s/o leucocytosis, raised urea and creatinine, deranged electrolytes, raised amylase & lipase levels, deranged coagulation profile. X ray chest s/o pneumoperitoneum. Decision of emergency laparotomy taken with DOT consent.