Alatefi Dawood, Hezam Abdulhakim M, Alanzi Ahmed
The University of Jordan Hospital, The University of Jordan, Amman 11942, Jordan.
Orthopaedic Surgery, Salmaniya Medical Complex, Salmaniya 329, Bahrain.
J Surg Case Rep. 2024 Sep 12;2024(9):rjae576. doi: 10.1093/jscr/rjae576. eCollection 2024 Sep.
The prediction of the coexistence of acute appendicitis and renal colic can be challenging, especially when the patient's symptoms point toward one diagnosis. In this case report, we describe a patient who presented to the emergency department with severe lower abdominal pain that was thought to be solely due to acute appendicitis. Further evaluation, however, revealed the simultaneous coexistence of a right ureteral stone, causing severe hydroureteronephrosis. The patient underwent prompt surgical management, including laparoscopic appendectomy, ureteroscopy, and double-J stent insertion, and had an uneventful postoperative recovery.
预测急性阑尾炎和肾绞痛并存可能具有挑战性，尤其是当患者的症状指向一种诊断时。在本病例报告中，我们描述了一名患者，该患者因严重的下腹部疼痛就诊于急诊科，最初认为仅由急性阑尾炎引起。然而，进一步评估发现同时存在右侧输尿管结石，导致严重的输尿管积水和肾盂积水。患者接受了及时的手术治疗，包括腹腔镜阑尾切除术、输尿管镜检查和双J管置入术，术后恢复顺利。
