title: A rare case of an appendiceal mass masquerading as a pelvic tumour and causing bilateral hydronephrosis.
abstract: Diagnosing acute appendicitis in children can be difficult due to atypical presenting symptoms. While there are reported cases of acute appendicitis or appendiceal masses causing unilateral hydronephrosis, bilateral hydronephrosis as a complication of appendiceal mass is very rare. We report a case of a child who presented with cardinal symptomatology associated with the urogenital tract. Ultrasound (US) investigation showed a pelvic mass causing bilateral hydronephrosis. An initial diagnosis of a pelvic teratoma was made based on the US and computed tomography (CT) scan findings. The final diagnosis of an appendiceal mass causing bilateral hydronephrosis was established intraoperatively.
authors.affiliation: Department of Radiology, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: Sn
authors.initials: S
authors.lastname: Abdul Rashid
authors.forename: S
authors.initials: S
authors.lastname: Ab Hamid
authors.forename: S
authors.initials: S
authors.lastname: Mohamad Saini
authors.forename: R
authors.initials: R
authors.lastname: Muridan