We report our experience on a case of acute appendicitis which presented with gross hematuria; manifestations of acute appendicitis sometimes can mimics various disorders of the genitourinary tract as reported by data of several authors. Thus, the "pelvic" position of the appendix and its proximity to surrounding structures of the genitourinary tract, mainly the bladder, appears to determine the associated symptoms and signs. We should not forget that only half of appendicitis occurs with "classic" symptoms. Some cases appear with "urologic" symptoms.
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