Appendiceal calculi are found in a limited percentage of patients. They are in association to an elevated prevalence of necrotic appendicitis and perforation of the appendix. The Authors report a case of acute appendicitis associated to appendiceal lithiasis with perforation of the organ. They emphasize the possibility to perform a preventive appendectomy in case of incidental appendiceal lithiasis. Besides they consider the differential diagnosis of the calcified images located in the lower abdominal quadrants with the aid of the various imaging methods available today, particularity sonography and computerized tomography.
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Impact of an appendicolith and its characteristics on the severity of acute appendicitis.
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Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
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- Antibiotics can effectively treat uncomplicated acute appendicitis without an appendicolith, but this study focuses on how the presence and characteristics of an appendicolith (a small calculus in the appendix) relate to the severity of appendicitis.
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Department of Surgery SPHMMC, Addis Ababa, Ethiopia.
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Department of Surgery, Aga Khan University, Karachi, Pakistan. Electronic address:
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