Case presentation An athletic, 30-year-old male was referred to the surgical emergency unit as he had severe pain in the right iliac fossa which had started as mild abdominal pain three days ago. He did not experience any of the following symptoms: Nausea, vomiting, changes in bowel habits (last opened on the day of admission), pain, bleeding, melena, mucus on defecation, unexplained appetite loss or weight loss, any genitourinary symptoms, flu-like symptoms, and rigor.
History Spontaneous pneumothorax at the age of 19 No known drug allergies and current medication No family history of renal stones, inflammatory bowel disease, or any other abdominal disease Vital signs Blood pressure: 134/79 mm Hg Heart rate: 72 beats/min Oxygen saturation 100% on room air Respiration rate: 17 breaths/min Abdominal examination An…
