{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T22:41:00Z","timestamp":1774478460585,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T00:00:00Z","timestamp":1574208000000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute appendicitis is one of the top differential diagnoses of right lower quadrant pain in the emergency department. There are many other conditions that may mimic appendicitis such as diverticulitis, colitis and gynecological conditions. We report a rare diagnosis of a patient who presents with characteristic clinical and laboratory features of appendicitis with severe sepsis, but later showed acute pyelonephritis of a malrotated right ectopic kidney on computer tomography. An ectopic kidney is very rare with an incidence of 1 in 3000. It is usually asymptomatic, although it may also associate with obstruction, infection and urolithiasis. This case report raises the importance of early recognition of the correct diagnosis using imaging in appropriate clinical settings, and prompt antibiotic treatment can avoid unnecessary surgical intervention, preserve renal function and prevent a life-threatening catastrophe.<\/jats:p>","DOI":"10.1093\/jscr\/rjz342","type":"journal-article","created":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T11:08:59Z","timestamp":1571483339000},"source":"Crossref","is-referenced-by-count":5,"title":["A rare presentation of an ectopic kidney with pyelonephritis mimicking appendicitis"],"prefix":"10.1093","volume":"2019","author":[{"given":"Yaying Eileen","family":"Xu","sequence":"first","affiliation":[{"name":"General surgical department, Caboolture Hospital, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasika","family":"Hendahewa","sequence":"additional","affiliation":[{"name":"Surgical consultant, General surgical department, Caboolture Hospital, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,11,20]]},"reference":[{"key":"2019112008302497900_ref1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/S1016-3190(09)60011-2","article-title":"Acute pyelonephritis of an ectopic kidney mimicking cute appendicitis: two unusual cases in an emergency department","volume":"21","author":"Cheng","year":"2009","journal-title":"Tzu Chi Med J"},{"key":"2019112008302497900_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2009\/638501","article-title":"A patient with an unusual cause right lower quadrant pain and vomiting: pyelonephritis of an ectopic right kidney masquerading as acute appendicitis","volume":"2009","author":"Lossius","year":"2009","journal-title":"Case Rep Med"},{"key":"2019112008302497900_ref3","doi-asserted-by":"crossref","first-page":"200","DOI":"10.5152\/turkjsurg.2017.3539","article-title":"Evaluation of the Alvarado scoring system in the management of acute appendicitis","volume":"33","author":"\u00d6zsoy","year":"2017","journal-title":"Turkish J Surg"},{"key":"2019112008302497900_ref4","first-page":"236","article-title":"Ectopic kidney and associated anomalies\u00a0: a case report","volume":"51","author":"Belsare","year":"2002","journal-title":"J Anat Soc India"},{"key":"2019112008302497900_ref5","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.eucr.2016.11.026","article-title":"Upper tract urothelial carcinoma in ectopic pelvic kidney","volume":"11","author":"Halalsheh","year":"2017","journal-title":"Urol Case Reports"},{"key":"2019112008302497900_ref6","first-page":"10","article-title":"Unilateral ectopic kidney in the pelvis - a case report","volume":"34","author":"Kumar","year":"2011","journal-title":"Chang Gung Med J"},{"key":"2019112008302497900_ref7","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.ajem.2007.08.023","article-title":"Pelvic ectopic kidney with acute pyelonephritis: wolf in sheep\u2019s clothing","volume":"26","author":"Tsao","year":"2008","journal-title":"Am J Emerg Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/11\/rjz342\/31062648\/rjz342.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2019\/11\/rjz342\/31062648\/rjz342.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T13:30:37Z","timestamp":1574256637000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz342\/5634110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,1]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz342","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,11]]},"published":{"date-parts":[[2019,11,1]]},"article-number":"rjz342"}}