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We report the case of a 60-year-old man presenting in our emergency department with a 2-day history of right lower abdominal pain, nausea, vomiting and low-grade fever. Physical examination evocated mild pain with positive rebound tenderness in the right lower abdominal quadrant, and positive right costovertebral angle tenderness. Routine blood tests, abdominal X-rays were conclusive for perforation. At explorative laparotomy, a terminal ileal perfo
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