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Case Reports in Medicine
Volume 2009, Article ID 638501, 3 pages
Case Report

A Patient with an Unusual Cause Right Lower Quadrant Pain and Vomiting: Pyelonephritis of an Ectopic Right Kidney Masquerading as Acute Appendicitis

1Department of Pediatrics, College of Medicine, University of Florida, Gainesville, FL 32608, USA
2Department of Pediatrics, College of Medicine, University of Oklahoma Health Science Center, Oklahoma City, OK 73104, USA

Received 1 November 2009; Accepted 10 December 2009

Academic Editor: Eugene Minevich

Copyright © 2009 Michele N. Lossius et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


An adolescent female presented with one day of abdominal pain and clinical findings of acute appendicitis. CT scan revealed an ectopic right kidney with changes of acute pyelonephritis. This paper underscores the importance of imaging the right pelvis prior to surgical intervention in suspected cases of acute appendicitis in children.