A vaguely symptomatic man with a ruptured appendix and localized peritonitis

Abstract

An otherwise healthy 24-year-old male was sent to the emergency department by an urgent care center with remote concern for appendicitis. The patient was afebrile, eating and drinking normally and non-leukocytotic, but because of mild tenderness to palpation in the right lower quadrant of his abdomen and symptomatology persisting for seven days computed tomography was obtained which revealed a ruptured appendix and localized peritonitis. The patient was admitted to the acute care emergency surgery service and managed non-operatively with antibiotics.