ABSTRACT
Acute appendicitis (AA) is one of the commonest surgical emergencies. Perforation is one of the major complications of AA which can cause dreaded morbidity as well as mortality. Comorbidities, especially among endocrine, vascular or even haematological disorder, can mask postoperative complications. By having good knowledge of certain perioperative conditions, the patient can avoid more invasive intervention. Herein, a young lady with southeast asian ovalocytosis (SAO) presented with perforated AA and incidental mesodiverticular band developed postoperative jaundice and we discuss the possible outcomes of these unfortunate events.