1st April 2022

An 18-year-old male presents with severe right iliac fossa (RIF) pain and raised inflammatory markers

An 18-year-old male presents with severe right iliac fossa (RIF) pain and raised inflammatory markers. 36 hours ago he had centralised abdominal pain but delayed seeking medical advice. On examination he is found to have a temperature of 39⁰C, a heart rate of 90 and blood pressure of 142/90. He has localised tenderness in the RIF, and decreased bowel sounds. There is no mass to be felt. He has not opened his bowels in 36 hours but is passing flatus.

Which complication is most likely to have occurred?

Which is the SINGLE most appropriate option from the list below? Select ONE option only.