• Darren Leonard Scroggie and Maitham Al-Whouhayb.
• Department of General Surgery, Barnet & Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UK darrenscroggie@yahoo.co.uk.
• J Surg Case Rep. 2015 Nov 23; 2015 (11).

AbstractA 67-year-old lady was found to have a giant appendicolith during a colorectal cancer screening colonoscopy, following a positive faecal occult blood test. Computed tomography confirmed the presence of a calcified giant appendicolith within the base of the appendix, which otherwise appeared normal. Appendicoliths are widely believed to be a major cause of acute appendicitis via obstruction of the appendix lumen, although this is disputed due to a lack of strong evidence. They may also cause chronic abdominal pain. All of the few cases of giant appendicoliths reported so far have been managed by extracting the lesions. Our patient was asymptomatic and had bilateral lung transplants, so a conservative watchful waiting approach was adopted. The authors propose expectant management of giant appendicoliths as a reasonable option in patients with significant operative risks. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.

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