Sultana, RSindhu, ANParmeshwar, TMKallem, SRBalachandran, HSahoo, S.2024-11-302024-11-302024-08Sultana R, Sindhu AN, Parmeshwar TM, Kallem SR, Balachandran H, Sahoo S.. Giant free lying appendicolith perforated through the mid segment of appendix . International Surgery Journal. 2024 Aug; 11(8): 1374-13762349-33052349-2902https://imsear.searo.who.int/handle/123456789/236402Appendicoliths, though typically small and asymptomatic, occasionally manifest as giant calculi exceeding 2 cm in diameter and can precipitate acute appendicitis.1 This case report delineates the presentation, diagnostic challenges, and management of a rare 2.2 cm appendicolith-induced acute appendicitis in an adult male patient. Despite financial constraints necessitating an open appendicectomy, the procedure resulted in a successful clinical outcome without postoperative complications.AppendicolithAppendicitisAppendiceal perforationGiant free lying appendicolith perforated through the mid segment of appendixJournal ArticleIndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, IndiaDepartment of General Surgery, All India Institute of Medical Sciences, Bibinagar, Telangana, India