Surgical Science

Volume 8, Issue 11 (November 2017)

ISSN Print: 2157-9407   ISSN Online: 2157-9415

Google-based Impact Factor: 0.36  Citations  h5-index & Ranking

Giant Appendicolith in Acute Exacerbation of Chronic Appendicitis: Case Report and Literature Review

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DOI: 10.4236/ss.2017.811051    1,282 Downloads   2,315 Views  

ABSTRACT

Right iliac fossa pain remains a challenge for clinicians, since it requires considering several differential diagnoses. Acute appendicitis continues to be one of the most important diagnoses to confirm or to rule out in acute abdominal pain, due to the associated morbidity and mortality. Currently, imaging studies contribute to increase diagnostic certainty, but sometimes reveal unexpected findings, which may further complicate the diagnosis and therapeutic decisions. We present the case of an unusual image finding in the right iliac fossa, a calcification suggestive of gallstone ileus, in the context of an acute abdomen with an unusual transoperative finding, whose definitive diagnosis by pathology, was also rare.

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Chávez, A. , Blanco, R. , Chávez, M. , Pascual, S. , Hernández, D. and Valdés, J. (2017) Giant Appendicolith in Acute Exacerbation of Chronic Appendicitis: Case Report and Literature Review. Surgical Science, 8, 457-463. doi: 10.4236/ss.2017.811051.

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