Appendicitis and giant appendicolith

Case contributed by Ayaz Hidayatov
Diagnosis certain

Presentation

Acute abdominal pain in the right lower quadrant and irradiating to the suprapubic region.

Patient Data

Age: 55 years
Gender: Male

Non-contrast CT reveals a dilated and fluid-filled appendix, an impacted giant appendicolith at the base of the appendix with a diffuse periappendiceal inflammatory changes. 

Case Discussion

In this case, the cause of the acute appendiceal inflammation is impaction by giant appendicolith. 

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