Table 1.

Investigations (Blood work up, bed side tests, fluid tests and histopathology).

Full blood count	Hb 134 g/L, WCC 17.4 × 10^9 /L, neutrophils 16.0 × 10^9 /L.
Urea, electrolytes, creatinine	Na 135 mmol/L, K 3.8 mmol/L, creatinine 49umol/L.
Liver function tests	Bili 8 umol/L, ALP 63 U/L, GGT 13 U/L, AST 22 U/L, ALT 36 U/L.
Lipase	124 U/L (normal range 70−390 U/L).
C- reactive protein	165
Urinalysis	Negative leukocytes, nitrites and blood.
Bed side USS	Confirmed intrauterine pregnancy and foetal heartbeat.
Appendix Pathology	Appendix with faecolith and small amount of acute inflammatory slough within appendiceal lumen; fibrous obliteration of tip of appendix; no evidence of acute appendicitis, dysplasia or malignancy.
peritoneal fluid	Triglycerides 15.7 mmol/L (1389 mg/dL), no organisms grown/cultures. Numerous leukocytes. Lipase 83 U/L.