Appendicolith

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 9 years
Gender: Female
x-ray

A well-defined lamellated radio-opaque elliptical focus is noted projected over the right iliac crest.

Case Discussion

This young girl presented with acute onset of right iliac fossa pain associated with vomiting of 3 days duration. On ultrasonography, there was an appendicolith measuring ~  1.7cm at the base of the appendix with acute appendicitis. No complications including rupture. The patient underwent appendectomy successfully and doing well at present. 

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