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Appendicolith

Case contributed by Gaspar Alberto
Diagnosis certain

Presentation

Abdominal pain, fever, leukocytosis.

Patient Data

Age: 25 years
Gender: Male
x-ray

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

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 appendectomy. 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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