Urinary tract symptoms can turn out to be a surprise. This case study is presented from the perspective of one such patient. This patient was seen at the Emergency Department for abdominal pain and vomiting. He had presented 2 months earlier to a primary care medical centre with a 2-day history of dysuria. Physical findings were normal and his symptoms resolved with treatment. He was later seen again in another primary care medical centre when he had a recurrence of the dysuria, together with fever and abdominal pain. He improved after treatment and was able to travel to Malaysia but returned the next day and presented to the Emergency Department because of worsening symptoms. He was admitted for an emergency surgery.