Appendicolith

Case contributed by Dr Gaspar Alberto

Presentation

Abdominal pain, fever, leucocytosis.

Patient Data

Age: 25
Gender: Male
Modality: X-ray

There is an ovoid density projected over the right lower quadrant of the abdomen, suspicious for an appendicolith.

Modality: X-ray

There is an ovoid density projected over the right lower quadrant of the abdomen, suspicious for an appendicolith.

Case Discussion:

Later the same day the patient underwent a laparoscopic appendicectomy. Pathological review of the surgical specimen showed acute gangrenous appendicitis with rupture, appendix measuring 8 x 2.5 x 2 cm, with a 2 cm appendicolith.

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Case Information:

rID: 14746
Diagnostic certainty: Certain
Inclusion in quiz mode: Included

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