OBJECTIVES To evaluate the safety and effectiveness of ureteric stenting with a JJ stent in pregnant women, to relieve renal obstruction and intractable flank pain. PATIENTS AND METHODS All pregnant patients presenting with intractable flank pain, with or without complications, to a tertiary national teaching hospital in Kurdistan/Iraq, and necessitating ureteric stenting with a JJ stent, wer...

Acute pancreatitis is not an uncommon disease in an emergency department (ED). It manifests as upper abdominal pain, sometimes with radiation of pain to the back and flank region. Isolated left flank pain being the sole manifestation of acute pancreatitis is very rare and not previously identified in the literature. In this report, we present a case of acute pancreatitis presenting solely with ...

Spontaneous rupture of the renal collecting system is a rare but serious complication of pregnancy. We report a case of nontraumatic left renal calyceal rupture in a pregnancy which ultimately progressed to preterm delivery. A 29-year-old primigravida with a remote history of urolithiasis presented with left flank pain, suprapubic pain, and signs of preterm labor at 33 weeks of gestation. The p...

OBJECTIVE We evaluated the effect of terazosin in the improvement of lower urinary tract symptoms and flank pain in patients with internal ureteral stents. METHODS In this double-blind randomized clinical trial, 73 patients with unilateral ureteral stone and hydroureteronephrosis who underwent insertion of an internal ureteral stent after transureteral lithotripsy (TUL) were randomized into t...

Objective: To determine the value of non contrast helical CT in the diagnosis of non calculus renal and extraurinary causes of acute flank pain. Design: A prospective descriptive study. Place and duration of study: Radiology Department, Aga Khan University Hospital Karachi from January 2005 to June 2005. Subjects and methods: 130 consecutive patients with acute flank pain underwent Noncontrast ...

case presentation the current report presented an eight-year-old girl with microscopic hematuria and chronic abdominal pain along with short review of anatomy, pathophysiology, clinical significance and management of this syndrome. conclusions the nutcracker syndrome should be differentiated from unexplained chronic abdominal pain. introduction renal vein entrapment, named nutcracker phenomenon...

Flank pain with hematuria is a common chief complaint in the emergency department (ED). Patients are often diagnosed with renal calculi or pyelonephritis and discharged with analgesics or antibiotics and follow-up. This case study describes a patient who presented to the ED with a 1 week history of flank pain and hematuria and was subsequently found to have a large renal mass on bedside ultraso...

A 56-year-old woman with sickle-cell trait (hemoglobin electrophoresis with 53.5% hemoglobin A, 3.7% hemoglobin A2, 41.7% hemoglobin S and 1.1% hemoglobin F) was seen for recurrent episodes of ‘bilateral’ flank pain associated with gross hematuria and passage of cellular debris. These episodes had occurred on an infrequent basis for many years and seemed to be triggered by fasting. Her past med...

Urinary tract rupture is often complicated by septic shock and has a high mortality rate. Although it rarely represents a diagnostic challenge, a spontaneous rupture with urinary extravasation is a rare event which, when associated with strange and confounding clinical presentation, may rapidly evolve into life threatening septic shock. A 70-year-old patient presented with intense right leg and...