This case, along with a couple new papers from the radiology literature, highlight the need for POCUS practitioners to recognize perforation with the same accuracy as recognizing appendicitis itself.
Management can vary dramatically depending on local surgical culture, with vast downstream resource use implications.
Pediatric Emergency Care 2014 Sep; 30 (9) : 665-7.
Point-of-care ultrasound in a patient with perforated appendicitis. Elyse Katz Lavine, Turandot Saul, Sarah E Frasure, Resa E Lewiss