A 38-year-old woman presented with 2 days history of left-flank pain. She had similar episodes of abdominal pain as well as chest pain several times, but symptoms disappeared spontaneously. Each time she developed pain, there was no fever. After ruling out common causes of recurrent abdominal pain, familial Mediterranean fever (FMF) was considered as a potential diagnosis. Genetic tests reveale...

Introduction: renal cell carcinoma and angiomyolipoma are well-known tumors of kidney. However, coexistence of these tumors in the same patient is a rare condition. synchronous occurrence of renal cell carcinoma and angiomyolipoma is more commonly seen in patients with tuberous sclerosis. case report: A 76-years-old female was admitted to urology clinic with a complaint of flank pain. she had p...

Abdominal and flank pain with sudden onset is one of the most common patient presentations to emergency departments (ED). Renal infarction is a rare cause of abdominal and flank pain. Usually the symptoms of renal infarction are nonspecific, so the diagnosis is frequently missed or delayed. Especially if a patient has a disease such as nephrolithiasis and pyelonephritis, the possibility of dela...

Pelvic lymphoma is not a common condition and aggressive recurrence of chronic lymphocytic leukemia (CLL) as a cause is rarely reported. We report a case of lymphoma of left adnexa in a postmenopausal woman, with a three week history of abdominal and left flank pain. Past medical history was consistent with diagnosis of CLL. She had received chemotherapy. Due to abdominal and flank pain and abd...

Angiomyolipoma is an uncommon benign tumour (hamartsoma) composed of mature or immature fat, thickwalled blood vessels and smooth muscle elements in varying proportions. It is typically found in the young and inpatients with Tuberous Sclerosis Complex (TSC). We present a case of a 55-year old woman who has no TSC. A 55-year old post-menopausal house wife referred a peripheral hospital with subt...

We report a patient who was admitted to the department of medicine with palpitation, dyspnea and left flank pain, Chest X-ray revealed a mass in the left lung. The lesion was evaluated as a pulmonary tumor, with a high suspicion of malignancy. Intravenous urography, sonography, and CTscanning revealed a thoracic kidney at the location previously thought to be a lung mass. This is the firs...

A case of subcapsular hematoma, a rare complication of acute pyelonephritis (APN) is described. A 60-year-old diabetic woman was admitted with a 3 day history of fever and left flank pain due to acute pyelonephritis. On the third day in hospital, left flank pain worsened despite use of antibiotics available for the treatments of APN and hemoglobin rapidly decreased from 11.1 to 7.9 g/dL. Ultras...

A 28-year-old male with an unremarkable history was referred from the outpatient clinic due to right-flank abdominal pain during the last three months. On physical examination the patient had right-flank tenderness and was negative for Murphy’s sign. The laboratory tests were normal. An abdominal ultrasound was performed, revealing a normal sized gallbladder with thin walls and no stones, altho...

A 74-year-old man presented with right flank pain and a palpable mass in the left flank. Blood pressure was normal. Contrastenhanced computed tomography (CT) showed a 17 × 16 × 12 cm retroperitoneal mass over the left kidney, solid and heterogeneous. There were also 3 retro aortic lymph nodes and bilateral renal lithiasis. Twenty four-hour urinary metanephrines and normetanephrines were normal....

OBJECTIVES To determine the sensitivity and specificity of limited emergency ultrasonography of the kidney in diagnosing renal colic. METHODS This was a prospective observational trial from December 2001 to December 2003 at a suburban emergency department. Patients who presented with flank pain suspicious for renal colic were enrolled. Exclusion criteria included fever, trauma, known current ...