Case profile: Appendicitis and appendicolithiasis presenting as ureteral stone and colic

Renal colic: A diagnostic and therapeutic review

“…50,77,78 Extramural ureteric compression may be due to tumour, seminoma, pelviureteric varices, sarcoidosis and abdominal aortic aneurysm. 7,[79][80][81][82] Renal infarction, secondary to renal artery embolism or dissection, is an uncommon but important differential diagnosis and will not be demonstrated by non-doppler ultrasound or noncontrast CT. 83,84 Although aortic aneurysm is the major lifethreatening differential diagnosis, no specific clinical factors have been identified which accurately differentiate between the two conditions in patients with flank pain and haematuria. The presence of a palpable pulsatile mass, age greater than 50 years, other cardiovascular disease or hypotension, should prompt immediate imaging to confirm or exclude the diagnosis of aortic aneurysm.…”

Appendicolithiasis versus urolithiasis

“…Occasionally, a crampy type of pain may be part of the presentation but rarely is seen as the main presenting complaint [1,2]. Occasionally, a crampy type of pain may be part of the presentation but rarely is seen as the main presenting complaint [1,2].…”

“…Another case of violent intensive colicky pain due to appendicolithiasis has been previously reported [1]. Clinically, however, it has been noted that pathological states that commonly affect this organ do not present as an acute intensive colicky pain as may occur in ureterolithiasis.…”

Routine colonoscopy with a surprise in the cecum: It’s a giant appendicolith! A Case report and review of the literature

“…While most of them remain asymptomatic [2], others may cause appendicitis. Furthermore, appendicoliths can imitate symptoms of other conditions, such as kidney or ureteral colic, which potentially complicates the diagnosis [3,4]. While their general association with appendicitis is discussed controversially, appendicoliths are significantly associated with an increased risk of complications (e. g., perforation, abscess formation) [5,6,7,8], the need for surgical intervention [7] and a worse clinical outcome once appendicitis has developed [9].…”