Appendicitis and appendicolith

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 15 years
Gender: Male
x-ray

Appendicolith projecting over the right sacral ala. 

Case Discussion

In the presence of right iliac fossa pain visualizing an appendicolith, especially in young patients, is highly suggestive of appendicitis, subsequently confirmed. 

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