What do we miss without contrast in patients with flank pain?

Flank pain is a common complaint in the emergency department, and the most frequent cause of flank pain is urolithiasis. Spontaneous renal artery dissection and renal artery thrombosis are rare causes of abdominal pain which can result in renal parenchymal injury. They are mostly difficult to diagno...

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Bibliographic Details
Published in:The American journal of emergency medicine 2016-04, Vol.34 (4), p.765.e3-765.e5
Main Authors: Gun, Cem, MD, Aldinc, Hasan, MD, Yaylaci, Serpil, MD, Gudelci, Tansu, MD, Karcioglu, Ozgur, MD
Format: Article
Language:English
Subjects:
Abdomen
Adult
Alcohol
Blood
Blood pressure
Body temperature
Cardiac arrhythmia
Contrast Media
Dissection
Emergency
Emergency medical care
Flank Pain - etiology
Heart rate
Humans
Hypertension
Infarction - complications
Infarction - diagnostic imaging
Kidney - blood supply
Kidney - diagnostic imaging
Magnetic Resonance Angiography
Male
Medical imaging
Middle Aged
Pain
Thrombosis
Tomography, X-Ray Computed - methods
Ultrasonic imaging
Urea
Urinalysis
Urine
Veins & arteries
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Summary:Flank pain is a common complaint in the emergency department, and the most frequent cause of flank pain is urolithiasis. Spontaneous renal artery dissection and renal artery thrombosis are rare causes of abdominal pain which can result in renal parenchymal injury. They are mostly difficult to diagnose and treat in the emergency setting. The present report describes 2 patients admitted to the emergency department because of acute flank pain who were diagnosed with renal infarction.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.09.002