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A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis
Acute appendicitis is one of the top differential diagnoses of right lower quadrant pain in the emergency department. There are many other conditions that may mimic appendicitis such as diverticulitis, colitis and gynecological conditions. We report a rare diagnosis of a patient who presents with ch...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6865338/ https://www.ncbi.nlm.nih.gov/pubmed/31768250 http://dx.doi.org/10.1093/jscr/rjz342 |
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author | Xu, Yaying Eileen Hendahewa, Rasika |
author_facet | Xu, Yaying Eileen Hendahewa, Rasika |
author_sort | Xu, Yaying Eileen |
collection | PubMed |
description | Acute appendicitis is one of the top differential diagnoses of right lower quadrant pain in the emergency department. There are many other conditions that may mimic appendicitis such as diverticulitis, colitis and gynecological conditions. We report a rare diagnosis of a patient who presents with characteristic clinical and laboratory features of appendicitis with severe sepsis, but later showed acute pyelonephritis of a malrotated right ectopic kidney on computer tomography. An ectopic kidney is very rare with an incidence of 1 in 3000. It is usually asymptomatic, although it may also associate with obstruction, infection and urolithiasis. This case report raises the importance of early recognition of the correct diagnosis using imaging in appropriate clinical settings, and prompt antibiotic treatment can avoid unnecessary surgical intervention, preserve renal function and prevent a life-threatening catastrophe. |
format | Online Article Text |
id | pubmed-6865338 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-68653382019-11-25 A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis Xu, Yaying Eileen Hendahewa, Rasika J Surg Case Rep Case Report Acute appendicitis is one of the top differential diagnoses of right lower quadrant pain in the emergency department. There are many other conditions that may mimic appendicitis such as diverticulitis, colitis and gynecological conditions. We report a rare diagnosis of a patient who presents with characteristic clinical and laboratory features of appendicitis with severe sepsis, but later showed acute pyelonephritis of a malrotated right ectopic kidney on computer tomography. An ectopic kidney is very rare with an incidence of 1 in 3000. It is usually asymptomatic, although it may also associate with obstruction, infection and urolithiasis. This case report raises the importance of early recognition of the correct diagnosis using imaging in appropriate clinical settings, and prompt antibiotic treatment can avoid unnecessary surgical intervention, preserve renal function and prevent a life-threatening catastrophe. Oxford University Press 2019-11-20 /pmc/articles/PMC6865338/ /pubmed/31768250 http://dx.doi.org/10.1093/jscr/rjz342 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Xu, Yaying Eileen Hendahewa, Rasika A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
title | A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
title_full | A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
title_fullStr | A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
title_full_unstemmed | A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
title_short | A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
title_sort | rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6865338/ https://www.ncbi.nlm.nih.gov/pubmed/31768250 http://dx.doi.org/10.1093/jscr/rjz342 |
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