A 65-year-old man has developed abdominal pain, nausea, and vomiting within the last 48 hours. Let’s diagnose.

A 65-year-old man presents to the doctor with complaints of abdominal pain, nausea, vomiting, anorexia, and fatigue that developed within the last 48 hours. On physical examination, his abdomen was moderately distended, rebound tenderness was present, and bowel sounds were hypoactive. The patient had a social history of drinking 5 alcoholic drinks per day and a medical history of liver cirrhosis and alcohol use disorder. On CT examination, the abdomen and pelvis demonstrated large amount of loculated peritoneal fluid with enhancing rim in the abdomen and pelvis.

What’s the diagnosis?

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