It’s appendicitis with inflammation of bowel adjacent to it. Need to start Analgesics and antibiotics immediately and follow up with definitive surgery.
Next Steps
Need to consult general surgeon or gastroenterologist for admission and prompt treatment.
CECT-abdomen also has to done asap to know the extent of inflammation etc.
Health Tips
Alcoholic history and any blood related problems running in family should be looked into in view of
liver and spleen enlargement.