CRP and Increased total leukocyte count: Other manifestations also included painful expression, forced posture, slight tension of abdominal muscles, refusal to press, total abdominal tenderness, and no rebound pain, Laboratory evaluation showed leukocytosis and inflammatory markers were significantly increased (white blood cell count [WBC] 31.48 × 109/L, neutrophil count [NEU] 28.88 × 109/L, C-reactive protein [CRP] 186.18 mg/L, procalcitonin 19.71 μg/L) (Fig. 1A and B).