History A 16-year-old girl presented to the emergency department with a 1-month history of right lower back pain. She was originally seen at an urgent care clinic, where a lumbar radiograph was reportedly normal, and she was prescribed naproxen. However, she came to the emergency department once pain had escalated to 10 out of 10. Over the past month, the patient's right flank had increased in size and "hardened" to touch. She reported no trauma or other inciting incident. She had a prior history of laparoscopic appendectomy for perforated appendicitis more than 6 years earlier at an outside hospital. A prior contrast-enhanced abdominal CT scan, obtained 2 weeks after the appendectomy, was available for review (Fig 1). At evaluation, the patient was febrile and mildly tachycardic (104 beats per minute). Examination of the right flank revealed a 4-cm area of erythema and tenderness with 10-cm surrounding induration. She had leukocytosis (white blood cell count, 12 × 10[9]/L; reference range, <9.44 × 10[9]/L) and elevated C-reactive protein (23 mg/L; reference range, <9 mg/L). US (Fig 2) followed by contrast-enhanced MRI of the abdomen (Fig 3) was performed. Based on the imaging findings, the patient underwent a percutaneous drainage procedure. All cultures, including aerobic, anaerobic, fungal, and acid fast, were negative, with the caveat that the patient had been started on intravenous antibiotics before the procedure. She was discharged and prescribed 10 days of amoxicillin and clavulanate to complete antibiotic therapy, and the drain was removed 6 weeks later. One month after drain removal, the patient returned to the emergency department with return of severe flank pain, erythema, and purulent drainage. The patient was afebrile with a white blood cell count of 9.8 × 10[9]/L. Contrast-enhanced abdominal CT was performed (Fig 4).
Abstract
Journal Article
Case Reports
eng
42188729
Lee, Shimwoo, and Joseph Miller. "Case 350." Radiology, vol. 319, no. 2, 2026, pp. e253734.
Lee S, Miller J. Case 350. Radiology. 2026;319(2):e253734.
Lee, S., & Miller, J. (2026). Case 350. Radiology, 319(2), e253734. https://doi.org/10.1148/radiol.253734
Lee S, Miller J. Case 350. Radiology. 2026;319(2):e253734. PubMed PMID: 42188729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR
T1 - Case 350.
AU - Lee,Shimwoo,
AU - Miller,Joseph,
PY - 2026/5/26/medline
PY - 2026/5/26/pubmed
PY - 2026/5/26/entrez
SP - e253734
EP - e253734
JF - Radiology
JO - Radiology
VL - 319
IS - 2
N2 - History A 16-year-old girl presented to the emergency department with a 1-month history of right lower back pain. She was originally seen at an urgent care clinic, where a lumbar radiograph was reportedly normal, and she was prescribed naproxen. However, she came to the emergency department once pain had escalated to 10 out of 10. Over the past month, the patient's right flank had increased in size and "hardened" to touch. She reported no trauma or other inciting incident. She had a prior history of laparoscopic appendectomy for perforated appendicitis more than 6 years earlier at an outside hospital. A prior contrast-enhanced abdominal CT scan, obtained 2 weeks after the appendectomy, was available for review (Fig 1). At evaluation, the patient was febrile and mildly tachycardic (104 beats per minute). Examination of the right flank revealed a 4-cm area of erythema and tenderness with 10-cm surrounding induration. She had leukocytosis (white blood cell count, 12 × 10[9]/L; reference range, <9.44 × 10[9]/L) and elevated C-reactive protein (23 mg/L; reference range, <9 mg/L). US (Fig 2) followed by contrast-enhanced MRI of the abdomen (Fig 3) was performed. Based on the imaging findings, the patient underwent a percutaneous drainage procedure. All cultures, including aerobic, anaerobic, fungal, and acid fast, were negative, with the caveat that the patient had been started on intravenous antibiotics before the procedure. She was discharged and prescribed 10 days of amoxicillin and clavulanate to complete antibiotic therapy, and the drain was removed 6 weeks later. One month after drain removal, the patient returned to the emergency department with return of severe flank pain, erythema, and purulent drainage. The patient was afebrile with a white blood cell count of 9.8 × 10[9]/L. Contrast-enhanced abdominal CT was performed (Fig 4).
SN - 1527-1315
UR - https://www.unboundmedicine.com/prime/citation/42188729/Case_350.
DB - PRIME
DP - Unbound Medicine
ER -
