A young man with flank pain: what could it be?
The present case has been published in the journal Annals of Emergency Medicine. A 25-year-old man with a history of nephrolithiasis presented to the emergency department (ED) with 3 weeks of intermittent right flank pain and 1 day of hematuria.

He denied nausea and vomiting. Physical examination demonstrated an afebrile patient with a nontender abdomen and flank. The WBC count was normal and urinalysis showed only hematuria.

Bedside ultrasonography was performed, followed by a computed tomography (CT) scan of the abdomen and pelvis. A diagnosis of Staghorn calculus was established.

This patient had no evidence of infection or renal dysfunction and was discharged from the ED after urology consultation, with plans for elective cystoscopy for placement of ureteral stent and percutaneous nephrolithotomy.

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Dr. P●●●g B●●●●d
Dr. P●●●g B●●●●d Urology
No need of stent or nephrostomy if WBC normal and urine culture is negative
Aug 26, 2018Like