# 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.

## Key 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.