Concurrent acute appendicitis and obstructive ureterolithiasis: a case report and review of literature

TL;DR

A patient with severe abdominal pain was found to have both acute appendicitis and a kidney stone, requiring combined surgical treatments.

Contribution

This case report highlights the rare coexistence of acute appendicitis and obstructive ureterolithiasis and their successful combined management.

Findings

The patient presented with symptoms initially attributed to acute appendicitis but was found to have a right ureteral stone.

Laparoscopic appendectomy and ureteroscopy with stent insertion were performed successfully.

The patient recovered well postoperatively, emphasizing the importance of thorough evaluation in complex cases.

Abstract

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.

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