Description, Causes and Risk Factors:
Appendicolith is a calcified concretion in the appendix visible on an abdominal radiograph; considered diagnostic of appendicitis in the acute abdomen.
Appendicolith is a conglomeration of firm feces with some mineral deposits. It is usually found accidentally in abdominal computed tomography (CT) without any signs of appendicitis. Appendicolith may obstruct the appendix lumen, causing appendicitis and is found in approximately 10% of patients with appendix inflammation. Appendicitis which is caused by appendicolith is more commonly associated with perforation and abscess formation.
Appendicoliths are seen in about 10% of patients with acute appendicitis. They are more frequently associated with appendix perforation and abscess formation. The appendicolith obstructs the appendix lumen. It also destroys the mucosa with it's local mass effect. Gangrene in the appendix is inevitable. It is important to point out that patients with appendicolithiasis are at increased risk of appendix perforation and abscess formation.
Appendicolith may cause intermittent abdominal pain. It may mimic stone disease of the Genitourinary tract. Sometimes it can be difficult to differentiate acute appendicitis from appendicolith. Both of these pathologies may cause leukocytosis and hematuria. Abdominal findings such as right lower quadrant pain and rebound tenderness can be detected in appendicitis and urolithiasis.
Appendicolith may also cause appendicitis with serious complications including perforation and intra-abdominal abscess formation.
Intermittent abdominal pain.
- Nausea and vomiting.
- Pain migration
Most of the patients with appendicoliths are asymptomatic. However, appendicoliths may also cause serious appendicular inflammation and peritonitis.
Appendicoliths can be detected in abdominal x-ray when they are sufficiently calcified. USG (ultrasonography) and CT may also help in the diagnosis of an appendicolith. The definitive diagnosis of appendicolithiasis could be done with abdominal CT.
Laparoscopy is becoming the preferred approach for various abdominal surgeries. Since the development of laparoscopic ultrasonography (LUS) probes that can be inserted through laparoscopic ports, LUS has been introduced to compensate for this limitation in various laparoscopic abdominal surgeries. Although the laparoscopic removal of appendicoliths is recommended in patients with retained appendicoliths after appendectomy for minimally invasive treatment, localization of the spilled appendicolith may be also an obstacle to surgeons using a laparoscopic approach.
NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.
A new research from the University of Edinburgh, UK, suggests that cheap cilostazol tablets may reduce damage to arteries, which lead to blood clots, resulting in strokes and cognitive decline. The researchers plan to assess the medications’ ability to cut the risk of...
A new study from the US discovers that flavonoids, natural compounds found in fruits and vegetables, may help preserve the lung function, which tends to decline with age. For the study, a team of researchers looked at data from 463 adults from Norway and England whose...
Quiz about this article
0 of 2 questions completed
Please answer on few questions to make our service more useful
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading...
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
0 of 2 questions answered correctly
Time has elapsed
You have reached 0 of 0 points, (0)
Question 1 of 2
Was this article useful for you?Correct
Thanks for your feedback!Incorrect
Thanks for your feedback!
Question 2 of 2
What else information about this disease you want to know ?Correct
Thanks for feedback!Incorrect
Thanks for feedback!
Good weather is the best reason to do outdoor sports, which will help not only lose weight, but also will strengthen health. Bicycle The sun dries out the local paths, so you can safely sit on your favorite bike and confidently twist the pedals, where the eyes look....read more
First aid for injuries consists of simple rules that need to be clearly implemented. If this is a closed injury, you need to immobilize the injured limb, otherwise the person may lose consciousness from a painful shock. If you need to get to the emergency room...read more
Many people spontaneously decide starting to do sport, while others weigh all the pros and cons for a log time. But almost all of them make the same mistakes, listening to the advice of non experts. There are 10 anti-tips for those who want to do plan to do some sport...read more