Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report

Clinical Practice and Cases in Emergency Medicine
Cindy ShavorJoseph Minardi

Abstract

Abdominal pain is a common complaint in the emergency department. Point-of-care ultrasound (POCUS) is a rapid modality to evaluate for the etiology. A teenage male presented with symptoms concerning for appendicitis. POCUS revealed a non-peristalsing, non-compressible, tubular structure containing an echogenic stone. This was determined to be a ureteral stone within a dilated ureter, not appendicitis. We propose a syndromic sonographic approach to right lower quadrant pain (RLQ) that includes the gallbladder, right kidney, bladder, and right adnexa, in addition to RLQ landmarks. This case emphasizes the value of such an approach to avoid diagnostic error.

References

Aug 21, 2009·The Journal of Urology·Carlo PasserottiHiep T Nguyen
Jul 20, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Andrei S PuryskoDouglas J Racy
Aug 2, 2013·Critical Ultrasound Journal·Paolo FonioEugenio Annibale Genovese
Jul 4, 2015·Abdominal Imaging·Patricia T ChangEdward Y Lee
Aug 19, 2015·The Journal of Emergency Medicine·Joseph MinardiShelley M Layman
Jan 16, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Gregory E TasianSusan L Furth
Nov 7, 2016·Pediatric Radiology·Gabrielle C ColleranJeanne S Chow
Feb 25, 2017·Current Urology Reports·Jeffrey C MorrisonArun K Srinivasan
Aug 14, 2019·Clinical Practice and Cases in Emergency Medicine·Justin ChoiJoseph Minardi

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BETA
imaging technique

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