Giant free lying appendicolith perforated through the mid segment of appendix

Reshmi Sultana; A. Nyna Sindhu; Tushar Parmeshwar; Srinivas R. Kallem; Harikrishna Balachandran; Samarth Sahoo

doi:10.18203/2349-2902.isj20242137

Authors

Reshmi Sultana Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India
A. Nyna Sindhu Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India
Tushar Parmeshwar Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India
Srinivas R. Kallem Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India
Harikrishna Balachandran Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India
Samarth Sahoo Department of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India

DOI:

https://doi.org/10.18203/2349-2902.isj20242137

Keywords:

Appendicolith, Appendicitis, Appendiceal perforation

Abstract

Appendicoliths, though typically small and asymptomatic, occasionally manifest as giant calculi exceeding 2 cm in diameter and can precipitate acute appendicitis.¹ This case report delineates the presentation, diagnostic challenges, and management of a rare 2.2 cm appendicolith-induced acute appendicitis in an adult male patient. Despite financial constraints necessitating an open appendicectomy, the procedure resulted in a successful clinical outcome without postoperative complications.

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