A 24-year-old female was presented to the clinic with a right lower quadrant abdominal pain. The pain was of sudden sharp onset with progressing intensity up to 8/10. Over-the-counter medications did not relieve the pain. The pain gets worsened by lifting the right leg and was relieved by leaning forward. The patient denied nausea, vomiting, blood or mucus stools or other infective symptoms. She had no former medical and surgical records, with no relevant family history. The patient reported alcohol consumption occasionally with no smoke.
Based on the clinical and other investigatory reports, the patient was diagnosed with subhepatic appendicitis and caecum, which is visualized in the figure.
The patient's condition was managed with electrolyte infusion, Paracetamol, Morphine and Metronidazole. It was followed by surgery, which improved the patient's condition.
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