A 19-year-old man presents with a 2-day history of abdominal pain. The pain started in the central abdomen and has now become constant and has shifted to the right iliac fossa. The patient has vomited twice today and is off his food. His motions were loose today, but there was no associated rectal bleeding. Examination The patient has a temperature of 37.8°C and a pulse rate of 110/min.
On examination of his abdomen, he has localized tenderness and guarding in the right iliac fossa. Urinalysis is clear. Laboratory investigations Hemoglobin 14.2 g/dl Mean cell volume 86 fL White cell count 19 × 109/L Platelets 250 × 109/L Sodium 136 mmol/L Potassium 3.5 mmol/L Urea 5.0 mmol/L Creatinine 62 μmol/L C-reactive protein (Crp) 20 mg/L What can be the probable diagnosis for this patient? Which possible complications can arise in this case after surgical intervention? This case is from Docplexus…
