A 35-year-old man from rural India presents with a 4-day history of right lower quadrant pain, fever (39.5°C), and vomiting. On examination, he has a rigid abdomen with rebound tenderness and absent bowel sounds. WBC is 16,200/μL with left shift. Abdominal X-ray shows free air under the diaphragm. What is the most appropriate immediate management?

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