Acute appendicitis with four appendicoliths: a first case report in the English literature.

J Surg Case Rep · 2020 · PMC7371010 · PMID 32704344

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may be significantno p-value reported

It is conceivable that larger numbers of appendicoliths and larger-sized appendicoliths found on CT may increase the likelihood of acute appendicitis and that these findings may be significant enough to support a recommendation of an elective appendectomy in asymptomatic patients.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.