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Appendicitis with bladder involvement: CT appearance
D A Wojtasek1, H S Teixidor, E Kazam
1Department of Radiology, New York Hospital-Cornell University Medical Center, NY 10021.
Urologic Radiology
|January 1, 1988
Summary
A rare case of appendicitis mimicked bladder issues, showing microscopic hematuria and a suprapubic mass. Computed tomography (CT) proved crucial for diagnosing this atypical presentation and assessing the inflammatory extent.
Area of Science:
- Medical imaging
- Surgical pathology
- Urology
Background:
- Appendicitis typically presents with abdominal pain, but atypical presentations can occur.
- Microscopic hematuria and suprapubic masses are uncommon symptoms associated with appendicitis.
Observation:
- A patient presented with microscopic hematuria and a suprapubic mass, initially suggesting a bladder or gynecological issue.
- The clinical presentation was atypical for common appendicitis.
Findings:
- Computed tomography (CT) successfully identified appendicitis as the underlying cause of the patient's symptoms.
- CT imaging revealed the full extent of the inflammatory process, aiding in preoperative planning.
Implications:
- CT is a valuable tool for diagnosing unsuspected or atypical cases of appendicitis.
- This case highlights the importance of considering appendicitis in patients with unusual presentations involving the lower urinary tract.