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"Nodules-but where?"
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Case of the Week 258 
What's the most likely diagnosis?
- 38 year-old female with right lower quadrant pain
- Renal calculi
- Gallstones
- Iliac artery aneurysm
- Phleboliths
- Appendicoliths
Answer:
5. Appendicoliths
More (Click Discussion Tab)
Appendicoliths
General Considerations
- Also known as a fecolith, fecalith, coprolith
- Calcified deposit within the appendix
- Present in approximately 30% of children with acute appendicitis
- May be an incidental finding on an abdominal radiograph done for other purposes
- But, when associated with abdominal pain, there is a 90% probability of acute appendicitis
- Also 50% higher risk of appendiceal perforation
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