23 years old female, virgin, with chronic recurrent abdominal pain. not related to menstruation. Clinically, abdominal pain allover the lower abdomen, no shifting pain, nausia, no vomiting, mild tenderness in right iliac fossa, TLC 4,100, Radiography suggests Chronic Appendicitis. Diagnostic Lap revealed these findings.
What's your diagnosis? Or DD?
What's your opinion in this lap exploration?
What do you think that the surgeon missed during exploration here?
What's your opinion about the use of diagnostic lap as a tool in a case like this?
If you are the surgeon, you will remove the appendix here or not? Why?
if you are the surgeon, you will call for gynacological consultation here? Why?
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