An 87-year-old man presented to the emergency ward with possible appendicitis. He had been spiking temperatures during the afternoon and had increasing right-sided abdominal pain. Temperature: 38°C Pulse: 120/min Icterus- present (skin and sclera) CNS: Confused, not able to give relevant history. P/A - Maximal tenderness is in the right upper quadrant, no palpable masses or an abdominal hernia.
Rectal examination: Normal stool with no palpable rectal mass Plain abdominal radiograph: normal The laboratory findings are given below: What will be the most likely diagnosis? *This case is from Docplexus editorial team for educative purpose only Source: Clinical cases in surgery The answer is posted in the comment section. Click here.
