Related Experiment Video
Updated: Jan 20, 2026

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
Giant Appendicolithiasis Presenting with Chronic Abdominal Pain and Mass: A Case Report
1Department of Surgery SPHMMC, Addis Ababa, Ethiopia.
Background:
Appendicitis is the most common cause of acute abdomen. The diagnosis of appendicitis can be easy when it presents with the classical symptoms or is very challenging when present with atypical presentation. Around 20-30% of patients operated on for appendicitis have appendicolithiasis. Appendicolithiasis are usually small in size, and are called giant when more than 2cm in size.
Case Detail:
A 36 years old man was referred from a district hospital with a diagnosis of cecal cancer. His complaints were right lower quadrant (RLQ) abdominal mass of 03 months and pain of 18 months duration. Colonoscopy was normal but abdominal CT showed a RLQ mass with a dense radio-opaque shadow at its center.
Conclusions:
Giant appendicolith is a rare condition. A high index of suspicion and careful review of imaging findings is the key in early diagnosis and improved patient outcomes.
Related Concept Videos
Data Reporting and Recording
Abdominal Aorta
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Pain
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Atomic Mass
Molar Mass

