Usman M., 12

Usman is a 12 year old male child who is currently staying with his parents. The father is a small scale farmer, the mother is a housewife. Currently, they are staying in a 2 rooms apartment having a pit toilet, they use borehole water and have no access to electricity. Usman attends a government junior secondary school and wishes to grow and help his parents and siblings. Their monthly income is 15000. Patient was healthy until four days when she suddenly felt abdominal pain which was colicky in nature and localized around the navel. The condition steadily deteriorated with passage of mucoid and blood-stained watery stools. Also, complaints of dizziness with a rising body temperature as the condition worsened with vomiting everything associated with bitter taste in the mouth. On examination, very ill looking 12yo boy, lethargic, febrile, unicteric, acyaose. Systemic review did not reveal any significant findings except in the tract. The abdomen was tensed with diffused tenderness all over except at Mc Burney’s part where the tenderness was elicited. Bowel sounds were muffled. He was diagnosed with Acute Appendicitis.

Usman was healthy until four days when she suddenly felt abdominal pain which was colicky in nature and localized around the navel. The condition steadily deteriorated with passage of mucoid and blood-stained watery stools. Also, complaints of dizziness with a rising body temperature as the condition worsened with vomiting everything associated with bitter taste in the mouth. On examination, very ill looking 12yo boy, lethargic, febrile, anicteric, acyanosis. He was diagnosed with Acute Appendicitis. He was rushed in for immediate appendicectomy, surgery was successful and patient was kept in the ward to recuperate. Usman was on admission for about 1 week, after a week he recovered significantly, became stable and was discharged with some drugs for continued home treatment.

Usman is a 12-year-old boy presenting with a four-day history of worsening colicky periumbilical pain, mucoid and blood-stained stools, vomiting, dizziness, and fever was diagnosed with acute appendicitis after examination revealed a lethargic, febrile state alongside a tensed, diffusely tender abdomen with localized tenderness at McBurney's point. Acute appendicitis is a common surgical emergency requiring early diagnosis and prompt treatment. Immediate appendectomy with antibiotic therapy usually results in full recovery. Prognosis is excellent when treated before perforation occurs. Delayed intervention increases the risk of complications such as perforation, peritonitis, abscess formation, sepsis, and prolonged hospitalization. Most patients recover completely and resume normal activities within a few weeks after surgery.