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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
True about appendicular rupture is A/E -
assistant
The correct answer is  Early antibiotics don't prevent rupture, that's why immediate appendicectomy is the recommended treatment of acute appendicitis.
Immediate appendicectomy is done to prevent the known complication of rupture.
Appendicular rupture
Occurs most frequently distal to the point of luminal obstruction along the antimesenteric border of appendix.
Rupture should be suspected in the presence of fever greater than 39°C (102°F) and a white blood cell count greater than 18,000/mm3.
Risk factors for perforation of appendix
Extremes of age (<5 and > 65yrs) -  Fecolith obstruction
Immunosuppression - Pelvic appendix
Diabetes mellitus - Previous abd. surgery