Patient Profile
Patient: Mrs. Neha Desai, 28-year-old female
Chief Complaint: Right lower quadrant abdominal pain for 24 hours
History & Examination
- Symptoms: Nausea, anorexia, low-grade fever
- Physical exam: Tenderness at McBurney’s point, rebound tenderness, positive Rovsing’s sign
Investigations
- CBC: Elevated WBC 13,500/mm³
- Ultrasound abdomen: Non-compressible tubular structure in RLQ
- CT abdomen (if needed): Used in equivocal cases for confirmation
Diagnosis
Acute Appendicitis — based on classical signs and supportive imaging.
Management
Surgical
Laparoscopic appendectomy as the preferred approach for faster recovery and reduced complications.
Pre‑/Post‑operative Care
- Pre‑op: IV fluids; antibiotics — ceftriaxone + metronidazole
- Post‑op: Analgesia, early ambulation, advance diet as tolerated
Follow‑up Plan
- Post‑op day 1–2: Monitor vitals, wound site, bowel function
- 1 week: Wound inspection; suture removal
- 6 weeks: Assess full recovery and return to normal activity
Outcome Goals
- Uneventful post‑operative recovery
- No complications (infection, abscess, ileus)
- Timely return to daily activities
Long‑Term Considerations
- Educate on red flags for post‑op infection (fever, increasing pain, purulent discharge)
- No dietary restrictions after full recovery
References
- Di Saverio S. et al. Diagnosis and treatment of acute appendicitis: 2020 update. World Journal of Emergency Surgery. 2020;15:27.
- UpToDate: Acute Appendicitis in Adults.