Abdomen / Pelvis for Friday, April 11th, 2025

Contributed by Samsung Medical Center
Tae Yeon Jeon, So Young Yoo, and Ji Hye Kim.

History

8-year-old boy with abdominal pain and fever.

s/p appendectomy 2 years ago

Images (Click any image to enlarge)

Question

What is the most likely diagnosis?

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Correct answer

Symptomatic dropped appendicolith

Discussion

Retained appendicolith due to perforated appendix or during op. 

Potential source of intraperitoneal infection (abscess, fistula, wound infection)

Additional images

References

  • AJR Am J Roentgenol. 2008 Mar;190(3):707-11. Radiol Case Rep. 2024 Jan 4;19(3):1176–1180.