A 10-year-old boy was brought to the emergency department with complaints of abdominal pain that had worsened over the past 24 hours. Initially, the pain started around the umbilical area but later shifted to the lower right side of the abdomen. The boy had a low-grade fever (38°C) and had experienced nausea and vomiting. His parents reported that he had a reduced appetite and had not been able to eat much for the past day.

Upon physical examination, the boy showed tenderness in the right lower quadrant of his abdomen, particularly at McBurney’s point. Guarding and rebound tenderness were noted. His heart rate was elevated, and he appeared slightly dehydrated. Laboratory investigations showed an elevated white blood cell count, indicating a possible infection.

An abdominal ultrasound revealed signs of inflammation around the appendix, confirming the diagnosis of acute appendicitis. The boy was taken to surgery, where an appendectomy was performed. Post-operatively, he recovered well and was discharged home after two days with instructions for follow-up care.

The parents were advised on signs of possible complications and the importance of completing the course of antibiotics prescribed to prevent infection.