Arab Board Surgery Clinical Practice Questions - Arab Board General Surgery Final Clinical And Oral Exam

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A 24-year-old male presents with an 18-hour history of periumbilical pain that migrated to the right lower quadrant, associated with anorexia, nausea, and a low-grade fever of 38.1°C. On examination, there is marked tenderness and guarding at McBurney's point with a positive Rovsing sign. Bedside ultrasound demonstrates a 9 mm non-compressible, blind-ending tubular structure in the right iliac fossa with wall hyperemia and periappendiceal fat stranding. What is the most appropriate definitive management?
Correct Answer:
Laparoscopic appendectomy

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