No Generalized Peritonitis in Surgery — 34yo Man | General Surgery | SMLE Q#17876
SMLE Question #17876
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 34-year-old man has 6 days of progressive right lower quadrant pain, low-grade fever, and anorexia. Examination shows a palpable, firm, tender right lower quadrant mass with no generalized peritonitis. CT abdomen/pelvis with IV contrast shows a 15 × 12 cm rim-enhancing appendiceal abscess extending to the abdominal wall with no free intraperitoneal air. What is the most appropriate next step in management?
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