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A Middle-Aged Woman With Severe Flank Pain

A Middle-Aged Woman With Severe Flank Pain

A 49-year-old woman arrived at the emergency department after experiencing 12 hours of severe right-sided flank pain accompanied by nausea and vomiting. Her temperature was 38.7°C (101.7°F). She reported no significant past medical history. A CT scan of the abdomen and pelvis was ordered on suspicion of appendicitis. Urinalysis was positive for leukocytes, bacteria, and elevated WBC count.

ReelDx - A Middle-aged Woman with Severe Flank Pain

What do you suspect is the cause of this patient’s pain and infection?

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