Report by: Victor Ameh, Specialist Registrar

Search checked by: Deepak Doshi, Specialist Registrar

Institution: Hope Hospital Manchester and Wythenshawe Hospital, Manchester, UK

CLINICAL SCENARIO

A 45-year-old man presented to the emergency department with a history of sudden onset left-sided loin pain radiating to the left groin. Urinalysis revealed 2+ blood and nil else. Plain abdominal x ray did not reveal any radio-opaque calculus. You wonder whether a spiral …