This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Diffuse peritonitis in acute appendicitis is caused due to 
Select and explain. 
A. Early rupture of appendix, B. Late rupture of appendix, C. Fecolith, D. Old age
A: Early rupture of appendix
Answer: A: Early rupture of appendix 
Explanation: Diffuse peritonitis can develop rapidly because of the underdeveloped greater omentum, which is unable to give much assistance in localising the infection. Ref: Bailey & Love&;s Sho Practice of Surgery,E25,Page-1209