<prompt> True about appendicular rupture is AE -Common in extremes of ageCommon in people with fecolith obstructionEarly antibiotics prevent ruptureAppendicectomy is done always in presence of rupture  <response>: Early antibiotics dont prevent rupture, thats why immediate appendicectomy is the recommended treatment of acute appendicitis.Immediate appendicectomy is done to prevent the known complication of rupture.Appendicular ruptureOccurs most frequently distal to the point of luminal obstruction along the antimesenteric border of appendix.Rupture should be suspected in the presence of fever greater than 39C 102F and a white blood cell count greater than 18,000mm3.Risk factors for perforation of appendixExtremes of age 5 and 65yrs - Fecolith obstructionImmunosuppression - Pelvic appendixDiabetes mellitus - Previous abd. surgery 