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  • The Internet Journal of Gastroenterology
  • Volume 7
  • Number 2

Original Article

Fecalith of appendix

I Wani

Citation

I Wani. Fecalith of appendix. The Internet Journal of Gastroenterology. 2008 Volume 7 Number 2.

Abstract
 

A 8 year old boy presented with pain right lower abdomen, vomiting and fever .Abdominal examination revealing tenderness in right iliac fossa, with positive rebound tenderness and Rovsing's sign.X- ray abdomen was normal. Ultrasonography showed a non compressible tube like structure in the right lower quadrant and the positive probe tenderness suggestive of appendicitis. The patient underwent appendectomy. There was large fecalith 4.1×1.2×1 centimeter present near base. Histopathology was consistent with appendicitis.

Figure 1
Figure 1: showing appendix with fecalith

Fecalith associated appendicitis is obstructive appendicitis. The appendicolith or coprolith are calcified deposits within lumen of appendix. About 30% of children having appendicitis have associated fecalith. Sometimes it is an incidental finding but when associated with abdominal pain ,there is a 90% probability of having appendicitis and 50% have increased risk of perforation of appendix. Giant fecaliths are rarely seen.

Correspondence to

Imtiaz Wani Post Graduate Scholar , Amira Kadal,Srinagar Kashmir, India ,190009 Cell.No 9419904864 e-mail: imtazwani@yahoo.com

References

Author Information

Imtiaz Wani

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