{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:39Z","timestamp":1756425819436,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,7,25]]},"abstract":"<jats:p>A 17-year-old boy with no medical comorbidities, but a significant family history of malignancy, presented to Accident and Emergency following 3\u2009days of increasing rectal pain, symptoms of bladder outflow obstruction (poor flow, intermittent stream and hesitancy) and dysuria. Notably he had no abdominal pain. Digital rectal examination revealed a tender, enlarged prostate. Inflammatory markers were significantly raised (white cell count 17.7, C reactive protein 191). He was diagnosed clinically as prostatitis and commenced on intravenous antibiotics. Despite this his pain and inflammatory markers deteriorated, necessitating a CT of his abdomen and pelvis. This demonstrated multiloculated large thick-walled abscesses in the pelvis closely related to the rectum, prostate and seminal vesicles with some bowel wall thickening. Laparoscopy demonstrated a large colonic mass adherent to surrounding structures. The procedure was converted to laparotomy to enable resection of the mass via a limited right haemicolectomy. He recovered well and was discharged. Histopathological analysis of the specimen revealed appendicitis.<\/jats:p>","DOI":"10.1136\/bcr-2017-220546","type":"journal-article","created":{"date-parts":[[2017,8,10]],"date-time":"2017-08-10T04:40:33Z","timestamp":1502340033000},"page":"bcr-2017-220546","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["A rare urological presentation of appendicitis"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0461-8575","authenticated-orcid":false,"given":"Nick","family":"Simson","sequence":"first","affiliation":[{"name":"Department of Urology, Princess Alexandra Hospital NHS Trust, Harlow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0577-9992","authenticated-orcid":false,"given":"Thomas","family":"Stonier","sequence":"additional","affiliation":[{"name":"Department of Urology, Princess Alexandra Hospital NHS Trust, Harlow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Coscione","sequence":"additional","affiliation":[{"name":"Department of Urology, Princess Alexandra Hospital NHS Trust, Harlow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Qteishat","sequence":"additional","affiliation":[{"name":"Department of Urology, Princess Alexandra Hospital NHS Trust, Harlow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,10]]},"reference":[{"key":"2025082802464806000_2017.aug10_1.bcr-2017-220546.1","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/S0022-5347(17)42911-9","article-title":"Urological manifestations of acute appendicitis","volume":"139","author":"Jones","year":"1988","journal-title":"J Urol"},{"key":"2025082802464806000_2017.aug10_1.bcr-2017-220546.2","first-page":"68","article-title":"The anatomy of appendicitis","volume":"60","author":"Guidry","year":"1994","journal-title":"Am Surg"},{"key":"2025082802464806000_2017.aug10_1.bcr-2017-220546.3","first-page":"207","article-title":"Montes De Oca Mastrapa jl.urological manifestations of acute appendicitis","volume":"58","author":"Tundidor Berm\u00fadez","year":"2005","journal-title":"Arch Esp Urol"},{"key":"2025082802464806000_2017.aug10_1.bcr-2017-220546.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38940.664363.AE"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220546","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:46:51Z","timestamp":1756374411000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220546"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,10]]},"references-count":4,"alternative-id":["10.1136\/bcr-2017-220546"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220546","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,8,10]]}}}