Acute abdomen in a young patient: when to operate?
Case-based morning session discussing the surgical decision-making process in a young patient with acute abdominal pain.
A 23-year-old male presented with 18 hours of right iliac fossa pain, anorexia, and low-grade fever. The session covered:
• History and examination findings pointing to acute appendicitis
• Role of Alvarado score in clinical decision-making
• Imaging: when to request ultrasound vs. CT abdomen
• Laparoscopic vs. open appendicectomy: evidence review
• Intraoperative findings and pathological correlation
• Post-operative management and discharge planning
• Complications: wound infection, stump leak, and post-operative ileus
The session generated lively debate on conservative vs. operative management of uncomplicated appendicitis.
• History and examination findings pointing to acute appendicitis
• Role of Alvarado score in clinical decision-making
• Imaging: when to request ultrasound vs. CT abdomen
• Laparoscopic vs. open appendicectomy: evidence review
• Intraoperative findings and pathological correlation
• Post-operative management and discharge planning
• Complications: wound infection, stump leak, and post-operative ileus
The session generated lively debate on conservative vs. operative management of uncomplicated appendicitis.
