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Dropped Appendicolith: CT Findings and Implications for Management

¹ Department of Radiology, University of Massachusetts Memorial Medical Center, Worcester, MA.
² Division of Abdominal Imaging and Interventional Radiology, Department of Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114.

OBJECTIVE. The aim of this study was to discern the CT features of appendicoliths retained after appendectomy and evaluate the management options.

CONCLUSION. Retained, or dropped, appendicolith most often presents as an area of high attenuation less than 1 cm in diameter with an associated abscess close to the cecum or Morison's pouch. CT-guided drainage can be used to manage abscesses associated with dropped appendicolith in selected cases.

Keywords: abscess • appendectomy • dropped appendicolith

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