lumbar hernias (lh) accounts for less than 1.5% of total hernia incidence. it can occur in two separate triangular areas of the flank. about 300 cases have been reported in the literature. here, we report a 55-year old man with acute painful left side flank mass and final diagnosis of lh. the mass was appeared about three hours before admission and his pain was slight at first but became more s...

nutcracker syndrome (ncs) is a rare pathology, caused by compression of the left renal vein (lrv) between the abdominal aorta (aa) and the superior mesenteric artery (sma), due to reduction of the angle between aa and sma. this leads to lrv varices, left gonadal vein varices and therefore, the pelvic congestion syndrome. for this reason, coexistence of ncs and pelvic congestion syndrome has bee...

OBJECTIVES To investigate the impact of preoperative hydronephrosis and flank pain on prognosis of patients with upper tract urothelial carcinoma. METHODS In total, 472 patients with upper tract urothelial carcinoma managed by radical nephroureterectomy were included from Kaohsiung Medical University Hospital Healthcare System. Clinicopathological data were collected retrospectively for analy...

Bedside ultrasound is becoming a very important tool in emergency medicine. One of the staples of bedside ultrasound is its potential in assisting the clinician with information on local anatomy and organ function. A previously healthy 44-year-old male presented to the emergency department with acute dysuria and left flank pain. A renal bedside ultrasound was obtained and showed excellent urine...

An 18-year-old female presented to the emergency department with three days of worsening left flank pain. Past medical history included asymptomatic bacteriuria. She denied prior similar episodes or inciting events, and was currently being treated with trimethoprim sulfamethoxazole by an urgent care center for a urinary tract infection, although she denied having any urinary symptoms. Upon eval...