|Ureteral obstruction mimicking appendicitis.
year old male who presented with a two day history of
right lower quadrant pain and vomiting. CT, shown below,
was requested to evaluate for appendicitis.
||Figure 1. Contrast-enhanced CT image at the level of
the kidneys shows delay in the right (R) nephrogram when
compared to the left (L). Also note infiltration of the
right perinephric fat (*).
||Figure 2. Contrast-enhanced CT image at the level of
the midpelvis reveals a radioopaque calculus (arrow) in
the right ureter.
|The patient was given oral analgesic medications and
discharged home from the emergency department. He
spontaneously passed the calculus in his urine two days
later and had relief of his symptoms.
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