Case Report


A vaguely symptomatic man with a ruptured appendix and localized peritonitis

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1 University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland, USA

Address correspondence to:

Adam C Richardson

DNP, ENP-C, Department of Emergency Medicine, University of Maryland, 110 S Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201

USA

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Article ID: 100059Z06KB2019

doi: 10.5348/100059Z06KB2019CR

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How to cite this article

Blosser KM, Richardson AC. A vaguely symptomatic man with a ruptured appendix and localized peritonitis. Case Rep Int 2019;8:100059Z06KB2019.

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.

Keywords: Computed tomography, Peritonitis, Ruptured appendicitis

SUPPORTING INFORMATION


Author Contributions

Kelly M Blosser - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Adam C Richardson - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2019 Kelly M. Blosser et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.