30.7.24

All lab investigations and the ultrasound scan were normal in a 50-year-old male presenting with pain and local tenderness over McBurney’ point. The tenderness was exquisite and included some rebound tenderness. At operation, the appendix (preileal in position) presented itself in the wound before even before the cecum could be visualized.

lesson – the most important part of making a diagnosis of acute appendicitis remains proper history and clinical examination rather than labs and scans.