Atypical Clinical Presentation: Appendix in the Right Paracolic Gutter
| Non-perforated appendicitis mimicking
pyelonephritis. 8 year old boy with a history of right flank tenderness and pyuria. CT scan, shown below, was obtained to rule out pyelonephritis. |
|
Axial CT image at the level of the lower pole of the right kidney demonstrates a dilated appendix (large white arrow) in the right flank. Inflammatory changes are present in the periappendiceal and perinephric fat (small black arrowheads). |
| At surgery, an inflamed non-perforated appendix was removed. Following surgery, the patient's urinary tract symptoms resolved, and he was discharged home in good condition. |
Related teaching points can also be found in CT Findings
Return to Atypical Clinical Presentation (A)