Abstract
1. Coproliths are sufficiently common in children and of such significance that the pediatrician should be "coprolith cognizant." 2. Eleven children with coproliths are reported including 2 under 2 years of age, the youngest recorded cases to date. 3. An abdominal roentgenogram in any child with unusual abdominal symptoms or pain is recommended since only by this step can a coprolith be detected and proper treatment implemented. 4. Immediate appendectomy is indicated in the child with abdominal pain and a demonstrable coprolith, even though the signs and symptoms are atypical for appendicitis. In 50% of such cases, rupture has already occurred. 5. Prophylactic appendectomy in the asymptomatic child in whom a coprolith is incidentally discovered is justified because of the frequent subsequent development of acute appendicitis.
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