INTRODUCTION

Our body has composed of twelve different body systems; one of

this is the digestive system. Digestive system breaks down food into
absorbable units that enter the blood for distribution to body cells;
indigestible foodstuffs are eliminated as feces. The large intestine
absorbs the water from its inner contents and stores the rest until it
is convenient to dispose of it. Attached to the first portion of the
large intestine is a pouch called the vermiform appendix. The appendix
is a small fingerlike appendage about 4 inches long, attached to the
cecum just below the ileocecal valve. The appendix fills with food and
empties as regularly as does the cecum, of which it is small, so that
it is prone to become obstructed and is particularly vulnerable to
infection.

Appendicitis is the most common cause of acute inflammation in

the right lower quadrant of the abdominal cavity. It is thought that
appendicitis begins when the opening from the appendix into the cecum
becomes blocked. The blockage may be due to build-up thick mucus
within the appendix or stool that enters the appendix from the cecum.
The stool hardens, becomes rock-like, and blocks the opening. This
rock is called Fecalith.

Appendicitis is an inflammation of the appendix, a 3 1/2-inch-

long tube of tissue that extends from the large intestine. If the
inflammation and infection spread through the wall of the appendix,
the appendix can rupture, causing infection of the peritoneal cavity
called peritonitis. The pain become more diffuse, abdominal distention
develops as a result of paralytic ileus, and the patients condition
become worsens.

Appendicitis is most common between the ages of 5 and 40; the

median age is 28. It tends to affect males, those in lower income
groups and, for unknown reasons, people living in rural areas. In 2013
it resulted in 72,000 deaths globally down from 88,000 in 1990. In the
United States, there were nearly 293,000 hospitalizations involving
appendicitis in 2010. Appendicitis is one of the most frequent
diagnoses for emergency department visits resulting in hospitalization
among children ages 517 years in the United States.

The annual mortality rate per 100,000 people from appendicitis in

Philippines has decreased by 34.7% since 1990, an average of 1.5% a
year. For men, the deadliness of appendicitis in Philippines peaks at
age 80+. It kills men at the lowest rate at age 5-9. At 9.2 deaths per
100,000 men in 2013, the peak mortality rate for men was higher than
that of women, which was 5.3 per 100,000 women.

Mr. RQ, 18 years old, citizen at Bunawon Negros Oriental.

Admitted at Holy Child Hospital on May 26, 2017 and diagnosed with
ruptured appendicitis with generalized peritonitis. His chief
complaint was fever, with abdominal pain. In Mr. RQs case, he has
ruptured appendicitis with generalized peritonitis.

With the following details presented above, the researchers have

made such decision to choose this case because more and more incidents
of the same case have been continuously arising in the area. The
researchers have been moved by the increasing rates of the same cases
not only in the area but in several hospital institutions already and
would like to find out the relevance of studying the case, identifying
the risk, knowing the right managements, and being able to relate the
factors that might be relevant to other patients case thus enabling
us to perform more meaningful interventions as student nurses.