CASE 608: APPENDICOLITH, Dr NGUYỄN NGHIỆP VĂN, Dr VÕ NGUYỄN THÀNH NHÂN, Dr NGUYỄN PHÚ HỮU, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 Male patient 17yo, RLQ pain at 01:00 a.m. March 6, 2021.

Ultrasound at Medic Center at 10:00 a.m. detected an 33x10 mm swollen appendix at RLQ with fecolith =11 mm inside which has echo rich pattern and posterior shadowing. No free fluid around. A diagnosis of acute appendicitis with fecolith was made.

Lab results= WBC with neutrophil raised and CRP raised.

Later MSCT of abdomen confirmed an acute appendicitis with fecolith.

Patient was hospitalized  at 12:00 p.m. in Binh dan hospital. Endoscopic operation performed at 12:30 p.m..

And surgical macroscopic specimen (received via email at 03:00 p.m.).

Reference:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072212/