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A member asked:
I have a 15 month old who was seen in the ed for a fever. normal cbc. non-contrast ct showed a 2 mm probable appendicolith. pt fine now. refer?
A doctor has provided 1 answer
Not yet: In my experience, appendicoliths are more common than originally described as ct's have become higher quality with thinner slice thicknesses, and i see them quite often in patients who are scanned for other reasons. That being said, I do not have a big pediatrics population yet. However, I do not think a surgeon would perform an appendectomy on asymptomatic 15 month old. Any surgeon opinions?
Answered 10/6/2017
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