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Hydronephrosis in Acute Uncomplicated Appendicitis.

T Schok¹, S Austen¹, R B C B Lewicz²

¹a Department of Surgery , The Netherlands.

Acta Chirurgica Belgica

|July 8, 2016

Summary

This summary is machine-generated.

Right-sided hydronephrosis, a rare finding, can indicate uncomplicated appendicitis. This case highlights the importance of considering appendicitis even with unusual imaging results.

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Area of Science:

Medical Imaging
Surgical Pathology

Background:

Appendicitis is a common surgical emergency.
Right-sided hydronephrosis is an uncommon presentation associated with appendicitis.

Observation:

A 15-year-old patient presented with suspected appendicitis.
Ultrasound revealed right-sided hydronephrosis, initially considered incidental.
Diagnostic laparoscopy confirmed retrocaecal appendicitis causing secondary hydronephrosis.

Findings:

Acute retrocaecal appendicitis can lead to secondary right-sided hydronephrosis.
This association is rarely documented in medical literature.

Implications:

Right-sided hydronephrosis may serve as a diagnostic clue for acute uncomplicated appendicitis.
Clinicians should consider appendicitis in patients presenting with this combination, especially with current imaging-focused guidelines.