A 36-year-old woman presented with 1 day of sudden onset generalized abdominal pain 6 days after an appendicectomy which required a partial caecectomy in the context of failure of Endoloop® (J&J) ligature from poor tissue quality. Her post-operative recovery was uncomplicated and she was discharged home. During her re-presentation, her observations and laboratory markers were within normal limits, however she was profoundly tender in the right lower quadrant of the abdomen with rebound tenderness.