40 year old male patient with history of abdominal pain since 5 days.
Clinical symptoms : tenderness and rebound tenderness in right iliac fossa and extrapolated to McBurney's point.
On operative surgery - appendectomy
Surgery notes : appendix slightly inflamed and seropurulent fluid present in the right iliac fossa.
After 2-3 days greenish fluid started draining out through the tube.
On re- exploration:
By midline incision, revealed perforated chronic duodenal ulcer.
Treatment : emperical treatment of perforated chronic duodenal ulcer.