Uncle John's wife dies after he fails to take her cries of pain seriously and refuses to take her to a doctor. Which of the following is the cause of her death?

• A. A brain aneurysm
• B. A burst appendix
• C. A ruptured spleen
• D. A stomach tumour

Answer: (B)

When appendicitis isn’t treated, the inflamed appendix can eventually rupture. A burst appendix releases bacteria into the abdominal cavity, causing peritonitis and often a fast, life-threatening infection (sepsis). This progression from abdominal pain to rupture and widespread infection fits a scenario where ignoring cries of pain leads to death. The other options don’t match the typical course: a brain aneurysm is usually sudden and not preceded by abdominal pain; a ruptured spleen is usually tied to injury or certain conditions and involves internal bleeding in a different context; a stomach tumor tends to cause chronic symptoms rather than a rapid, rupture‑related death. So the most plausible cause given the neglect of pain is a burst appendix leading to fatal peritonitis.