抄録
A 54-year-old woman arrived at the emergency department with a two-day history of left lower abdominal pain. Prior consultations at three hospitals had resulted in a diagnosis of constipation. Upon arrival, signs of disturbed consciousness, pyrexia, and tachypnea were observed. Laboratory findings showed a significantly elevated inflammatory response and pyuria in blood and urinary tests. Computed tomography revealed dilation of the left renal pelvis, increased density of the left perirenal fat tissue, and the presence of a left ureteral stone. The patient was diagnosed with calculous pyelonephritis. This case illustrates that doctors should exercise caution in diagnosing constipation.
