A case report of perforated appendicitis with pyoperitoneum in a tertiary care center

Acute appendicitis remains one of the most frequent reasons for emergency hospital admissions and common cause an 'acute abdomen' in young adults. The risk is 8.6% men 6.7% women throughout a lifetime, with frequency peaking second decade life. In 19% acute cases, there perforation, it has bimodal distribution. Appendiceal gangrene perforation appear to be caused by appendiceal lumen being blocked. Gangrenous free bacterial contamination peritoneal cavity result from ischaemic necrosis appendix wall. Extreme ages, diabetes mellitus, immunosuppressive diseases, obstruction are factors perforation. Advances radiographic imaging have increased diagnostic accuracy, although diagnosis primarily clinical. Ultrasound, computed tomography (CT) scans, magnetic resonance (MRI) scans modalities presently use. Early appendectomy continues best option least contentious treatment appendicitis. accepted standard care perforated includes both open laparoscopic procedures. Antibiotic prophylaxis responds effectively complicated