Acute Appendicitis with Ascites

A girl of 8 years presented with fever, abdominal pain and vomiting of one day. I have seen the patient in outdoor setting. The fever was high grade, pain was central, vomiting occurs once containing food particles which suggesting the case as food poisoning.

On examination, the patient was looking sick, abdomen was tender centrally with muscle guard. Macburney’s point was not definitely tender.

To exclude the appendicitis, we suggested investigation for blood R/E, Urine R/E and Ultrasonography.

Ultrasonography reveals Acute Appendicitis and Ascites.

The patient was admitted and operated.