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An abdominal ultrasound scan was reported as “suggestive for acute appendicitis”. The patient underwent diagnostic laparoscopy and appendicectomy. Intra‐operatively, the appendix appeared normal; however, throughout the abdomen there was turbid fluid and multiple fibrin deposits. The fallopian tubes and ovaries were erythematous but an intra‐operative gynaecological review yielded no concern for pelvic inflammatory disease. In/out catheterisation pre‐operatively drained urine with sediment, pus and blood and was again sent for microscopy and culture.

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Authors: Danjel Miladinovic and Warren Hargreaves

Article Type: Medical Education