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Asymptomatic giant appendicolith managed conservatively.

Darren Leonard Scroggie1, Maitham Al-Whouhayb2

  • 1Department of General Surgery, Barnet & Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UK darrenscroggie@yahoo.co.uk.

Journal of Surgical Case Reports
|November 25, 2015
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Summary
This summary is machine-generated.

Giant appendicoliths, or large calcified deposits in the appendix, can be found during colonoscopies. A conservative watchful waiting approach may be suitable for asymptomatic patients with high surgical risks.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Appendicoliths are calcifications within the appendix, often implicated in appendicitis.
  • Giant appendicoliths are rare, and their management is not well-established.

Observation:

  • A 67-year-old female incidentally discovered a giant appendicolith during colorectal cancer screening.
  • Computed tomography confirmed a calcified giant appendicolith in an otherwise normal appendix base.

Findings:

  • The patient was asymptomatic, with no signs of appendicitis or abdominal pain.
  • Despite the potential for appendicoliths to cause obstruction, this giant appendicolith did not appear to cause symptoms.

Implications:

  • The case suggests that giant appendicoliths may be managed conservatively, particularly in patients with significant operative risks.
  • Expectant management is proposed as a viable alternative to surgical extraction for select patients.