Case Report| Volume 19, ISSUE 3, PB7, March 2018

Perforated Appendicitis in a Nursing Home Resident with Advanced Multiple Sclerosis

      Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. The principal presenting complaint of patients with acute appendicitis is abdominal pain. The diagnosis may be missed in patients with neurological disorders- in this case multiple sclerosis (MS) and quadriplegia-who do not complain of pain. There are limited research and practice guidelines for patients with chronic neurodegenerative disorders with acute abdomen.
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