You are here

Article Text

Article menu
Download PDFPDF
Image challenge
Sudden-onset flank pain
  1. Karl Chopra1,
  2. Thomas Adams1,
  3. Ashley Matthies2
  1. 1 Homerton University Hospital, London, UK
  2. 2 Emergency Department, Homerton University Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Karl Chopra, Homerton University Hospital, London E9 6SR, UK; karl.chopra1{at}nhs.net

https://doi.org/10.1136/emermed-2021-211817

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical Introduction

    A 36-year-old woman presented to the ED with sudden-onset right flank and iliac fossa pain that began 3 hours prior to arrival, associated with vomiting and diarrhoea. She denied dysuria or fever. Her observations were within normal range. Examination of her abdomen revealed right flank tenderness (figure 1). A point-of-care ultrasound was obtained.

    Figure 1

    Right upper quadrant view showing the right kidney and Morrison’s pouch.

    Question

    What is the likely diagnosis?

    1. Ruptured ectopic pregnancy.

    2. Renal haematoma.

    3. Ruptured ureteral calyx.

    4. Ruptured appendix.

    Answer: C

    The ultrasound shows moderate hydronephrosis …

    View Full Text

    Footnotes

    • Twitter @AshleyMatthies

    • Contributors All authors made substantive contributions to final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.