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Pyelonephritis mimicking colitis on CT: case report.

I Burck1, B M Yeh, B N Joe

  • 1Department of Radiology, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143-0628, USA.

Abdominal Imaging
|January 14, 2005
PubMed
Summary

Acute pyelonephritis can present with colon wall thickening on CT scans, mimicking colitis. This case highlights contiguous inflammation from the kidney affecting the ascending colon and cecum.

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Area of Science:

  • Nephrology
  • Gastroenterology
  • Radiology

Background:

  • Acute pyelonephritis is a common kidney infection.
  • Computed tomography (CT) is a key imaging modality for diagnosing abdominal pathologies.

Observation:

  • A patient presented with symptoms suggestive of an abdominal issue.
  • CT imaging revealed thickening of the ascending colon and cecal walls.
  • Pericolonic fat stranding was noted around the affected colon segments.

Findings:

  • The observed CT findings mimicked inflammatory bowel disease, specifically colitis.
  • The inflammation was contiguous, originating from the right kidney.
  • This presentation is the first reported instance of acute pyelonephritis mimicking colitis on CT.

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Implications:

  • Radiologists and clinicians should consider pyelonephritis in the differential diagnosis of right-sided colitis-like CT findings.
  • This case broadens the understanding of the potential imaging manifestations of acute pyelonephritis.
  • Accurate CT interpretation is crucial for appropriate patient management and avoiding misdiagnosis.