Nutcracker syndrome refers to the compression of left renal vein, usually between aorta and superior mesenteric artery. Flank pain is most common complaint hematuria can be seen among laboratory findings. This syndrome, which more in women with low body mass index, difficult diagnose.
 A 41-year-old female patient persistent flank was admitted our family medicine outpatient clinic. There n...

PATIENT Female, 17 FINAL DIAGNOSIS: Acute kidney injury Symptoms: Flank pain • nausea • vomiting MEDICATION Isotretinoin Clinical Procedure: Acne treatment Specialty: Nephrology Objective: Unknown etiology. BACKGROUND Isotretinoin is widely used for the treatment of acne that is unresponsive to topical therapy. Despite its efficacy, isotretinoin has various adverse effects, including cheili...

Isolated grade 5 renal trauma in a hemodynamically stable patient is rare. It is therefore unsurprising there are conflicting recommendations on management of these injuries from authorities including the AUA, EAU and SIU. We present a 26-year-old male with flank pain following a 3-m fall whilst bicycle riding off a ramp, who was found to have an isolated grade 5 renal injury (shattered kidney)...

BACKGROUND The recommended surgical treatment for chronic neuropathic pain after herniorrhaphy has been a 2-stage operation including: (1) ilioinguinal and iliohypogastric neurectomies through an inguinal approach and (2) genital nerve neurectomy through a flank approach. HYPOTHESIS A 1-stage surgical procedure resecting all 3 nerves from an anterior approach avoids a second operation through...

abstract   synchronous upper urinary tract tumor and superficial bladder tumor are uncommon. this is a report of a 62- year- old man presented with episode of painless gross hematuria and flank pain. we worked him up and found a left renal mass and bladder lesion. he underwent nephrectomy and tur-bt, and the pathology report of both showed a high grade urothelial transitional cell carcinoma. th...

We present the case of a 13-year-old patient who presented to the Emergency Department with low back and flank pain. Cross sectional imaging revealed paraspinal pyomyositis and epidural abscess. A detailed patient history revealed a recent lower extremity skin infection consistent with tropical pyomyositis. Review of this case shows the importance for recommending either contrast enhanced compu...

Torsion of an accessory spleen is an uncommon cause of abdominal pain. Only a few cases have been reported in the literature. Most cases occur in children, and in most cases the diagnosis is made at surgery. We report a case of torsion of an accessory spleen in an adult female who presented with acute left-flank pain. The diagnosis was made on contrast-enhanced computed tomography (CT) and was ...