Between a rock and a hard place: retained appendicolith causing a mechanical small bowel obstruction

Here we report an unusual case of small bowel obstruction, preluded by an unremarkable presentation of appendicitis. The small bowel obstruction subsequently diagnosed involved deposition of an appendicolith within the small bowel. Radiographic features of this incident are discussed along with its pathomechanics. Surgical management was carried out and is detailed along with advice for the management of retained appendicolith.