Patient History: A 24-year-old female without previous abdominal surgery or relevant medical history presented at her general practitioner because of severe abdominal pain, particularly in the right lower quadrant, gradually increasing over the last 4 days. In addition, she complained of lower back pain and feeling feverish. Consequently, she was admitted to the emergency department for advanced assessment. Physical Examination: On examination at the time of admission, the patient experienced severe pain if palpitated in the right lower abdomen.

Her vital signs were stable and cardiac and pulmonary examination were normal. She was afebrile; however, this could also be attributed to the use of anti-inflammatory drugs (NSAIDs). Laboratory Findings:  Laboratory results confirmed inflammation with an elevated C-reactive Protein (CRP) of 162 mg/L and a normal leucocytes amount of 9.8 × 10 9…