Right Flank Pain: A Case Report of an Interesting Sonographic Finding

Daignault, Michael C.; Saul, Turandot; Lewiss, Resa E.

doi:10.1016/j.jemermed.2012.01.046

Cited by 4 publications

(4 citation statements)

References 7 publications

(5 reference statements)

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“…There have been previous case reports of ED ultrasound showing calyceal rupture and hydronephrosis in patients presenting with renal colic symptoms 9 10. There are no other examples of an ED ultrasound case report showing a similar picture in an obstructed, infected renal system as in this patient.…”

Section: Discussionmentioning

confidence: 54%

No pain, no pathology?

Sharma

Govind

2012

BMJ Case Reports

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A 22-year-old girl who had a background of reflux nephropathy and urinary tact infection presented during the night with renal angle pain and vomiting. She was treated on the emergency department (ED) pyelonephritis protocol and admitted to the short stay ward. When reviewed the next morning she was aymptomatic and feeling better. It seemed likely that she would be discharged but an ED ultrasound showed right-sided hydronephrosis and some fluid between the liver and the right kidney. CT examination confirmed the suspicion of renal tract obstruction and ruptured calyx. An 8 mm calculus was found to be the cause of the pathology. Urgent urological review was organised and the system formally decompressed with a J–J stent inserted cystoscopically later that day.

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Section: Discussionmentioning

confidence: 54%

No pain, no pathology?

Sharma

Govind

2012

BMJ Case Reports

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“…Perinephric urine when in close proximity to the kidney is typically anechoic (Figure ). If observed on the right side, this should not be misinterpreted as free intraperitoneal fluid in the hepatorenal space (Morison's pouch) during a FAST examination …”

Section: Perinephric Collectionsmentioning

confidence: 99%

Sonography of perinephric fluid collections: A pictorial essay

Tsao

Liang

Huang

et al. 2019

J of Clinical Ultrasound

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“…Other PoCUS findings in renal colic can include fluid in Gerota’s fascia, which correlates with perinephric stranding on noncontrast CT and may indicate extravasation of urine from a ruptured fornix. 22…”

Section: Bedside Imagingmentioning

confidence: 99%

“…Mild hydronephrosis 244 Ultrasound Volume 23 November 2015 .......................................................................................................................... on noncontrast CT and may indicate extravasation of urine from a ruptured fornix 22. …”

mentioning

confidence: 99%

My patient has abdominal and flank pain: Identifying renal causes

et al. 2015

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Acute flank and abdominal pain are common presenting complaints in the emergency department. With increasing access to point-of-care ultrasound (PoCUS), emergency physicians have an added tool to help identify renal problems as a cause of a patient's pain. PoCUS for hydronephrosis has a sensitivity of 72-83.3% and a varying specificity, similar to radiology-performed ultrasonography. In addition to assessment for hydronephrosis, PoCUS can help emergency physicians to exclude other serious causes of flank and abdominal pain such as the presence of an abdominal aortic aneurysm, or free fluid in the intraperitoneal space, which could represent hemorrhage. Use of PoCUS for the assessment of flank pain has resulted in more rapid diagnosis, decreased use of computed tomography, and shorter emergency department length of stay.

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Right Flank Pain: A Case Report of an Interesting Sonographic Finding

Cited by 4 publications

References 7 publications

No pain, no pathology?

No pain, no pathology?

Sonography of perinephric fluid collections: A pictorial essay

My patient has abdominal and flank pain: Identifying renal causes

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