Appendicitis presenting with left flank pain has only been reported once in the literature. The varying presenting symptoms are thought to be due to the position of the appendixin this case, a pelvic appendix also involving the small bowel with reported perforation risk reported to rise with increasing diagnostic delay, prompt diagnosis and treatment is necessary to prevent any unnecessary morb...

BACKGROUND Our objective was to identify the clinical, laboratory and radiological characteristics of febrile urinary tract infections (UTI) in men and to focus on the value of flank pain in these men managed in an ambulatory care system. METHODS A network was designed to manage men with febrile UTI without hospitalization according to an algorithm designed with different specialists. The pat...

A 47-year-old woman was referred to our hospital for the management of her large abdominal mass. She had a history of right flank pain off and on for 2-3 years. She was admitted to the provincial hospital in the previous four days due to right flank pain and nausea. She had no history of trauma. Abdominal computed tomography (CT) was performed and liposarcoma was suspected in the right flank. S...

ACR Appropriateness Criteria 1 Acute Onset Flank Pain — Suspicion of Stone Disease American College of Radiology ACR Appropriateness Criteria Clinical Condition: Acute Onset Flank Pain — Suspicion of Stone Disease Variant 1: Suspicion of stone disease. Radiologic Procedure Rating Comments RRL* CT abdomen and pelvis without contrast 8 Reduced-dose techniques preferred. ☢☢☢☢ US kidneys and bladde...

1. Rossi AC, Bosco L, Faich GA et al. The importance of adverse reaction reporting by physicians—suprofen and the flank pain syndrome. JAMA 1988; 259: 1203–1204 2. Strom BL, West SL, Sim E et al. The epidemiology of the acute flank pain syndrome from suprofen.Clin Pharmacol Ther 1989; 46: 693–699 3. Wen SF, Parthasarathy R, Iliopulos O et al. Acute renal failure following binge drinking and non...

We present a case of a patient with xanthogranulomatous pyelonephritis (XGP) presenting with a large (18 × 12 cm) left-sided flank mass with worsening left flank pain. CT abdomen/pelvis demonstrated a left kidney with parenchyma replaced by multiple large hypodense collections containing fluid and gas, a left staghorn calculus, and a communication between the kidney and large flank collection. ...

s part of the Sound Judgment Series, this article describes the case of a patient presenting with acute flank pain and a classic clinical picture of a first episode of renal colic. The epidemiologic characteristics, pathophysiologic characteristics, risk factors, and initial assessment of patients with renal colic are briefly discussed. Imaging options are discussed, with emphasis on sonography...

OBJECTIVE Many emergency physicians (EPs) order "confirmatory" abdominal computed tomography (CT) in young flank pain patients, despite a high clinical suspicion of renal colic and the risk of radiation exposure. We measured the adverse outcome rate among flank pain patients identified as not requiring abdominal CT by the EP on a data form, regardless of whether CT was eventually ordered. Our s...

BACKGROUND Early diagnosis of pheochromocytoma and its proper management can lessen its mortality and morbidity. This case report describes a 24-year-old pregnant woman with an unusual presentation of pheochromocytoma. CASE PRESENTATION An Iranian 24-year-old primigravid woman from Kordistan province was referred to our center with left flank pain at 37 weeks of gestation. She had a history o...