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Obstructive Uropathy Secondary to Missed Acute Appendicitis.
1Vladimir City Clinical Hospital of Emergency Medicine, Stavrovskaya Street, 6-73, Vladimir 600022, Russia.
Acute appendicitis can cause right-sided hydronephrosis, a rare obstructive uropathy. Awareness of this atypical presentation is crucial for urologists, surgeons, and emergency physicians to ensure timely diagnosis and treatment.
Area of Science:
- Urology
- Surgical Gastroenterology
Background:
- Hydronephrosis, or swelling of the kidney, is an uncommon complication of acute appendicitis.
- Appendicitis can lead to obstructive uropathy due to inflammation near the urinary tract.
Purpose of the Study:
- To report a case of missed appendicitis presenting as right-sided hydronephrosis.
- To highlight the importance of recognizing atypical appendicitis presentations.
Main Methods:
- Case presentation of a 52-year-old female with right-sided hydronephrosis.
- Computed Tomography (CT) scan to diagnose acute appendicitis.
- Open appendectomy for treatment.
Main Results:
- The patient initially presented with right-sided hydronephrosis.
- CT scan confirmed acute appendicitis.
- Surgical intervention (open appendectomy) was performed.
Conclusions:
- Acute appendicitis can manifest as hydronephrosis due to adjacent inflammation.
- This rare complication necessitates awareness among urologists, surgeons, and emergency physicians.
- Prompt diagnosis and management are essential for patients with atypical appendicitis presentations.
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