#0005

Acute appendicitis, laparoscopic appendicectomy

Patient

24y · Male

Date

3 Oct 2026

AppendicitisLaparoscopy

Chief Complaint

Pain started around my belly button then moved to the right side for 1 day

Clinical Case

age

24 years

sex

M

occupation

Engineer

Pain started around my belly button then moved to the right side

Duration

1 day

History of Present Illness

onset

Gradual

character

Dull then sharp

severity

Moderate

pain score

7

aggravating

Movement, coughing

associated symptoms

  • Anorexia
  • Nausea
  • Low-grade fever

vitals

BP

125/80

HR

96

TEMP

38.1

systemic

abd

Tender at McBurney's point, rebound tenderness, positive Rovsing sign

labs

  • WBC 14.6 × 10⁹/L, neutrophils 82%
  • CRP 48 mg/L

imaging

  • Ultrasound: non-compressible appendix, 9 mm

primary diagnosis

Acute appendicitis (Alvarado score 8)

differentials

  • Mesenteric adenitis
  • Right ureteric colic

medications

  • Cefuroxime + metronidazoleIV, single pre-op dosePre-op

procedures

  • Laparoscopic appendicectomy: inflamed, non-perforated appendixDay 0

follow up

Discharge day 1; wound check in 10 days