Chung Chadwick, Stern Paula J, Dufton John
Tutor, Undergraduate Education, Canadian Memorial Chiropractic College, Toronto, Ontario, M2H 3J1.
J Can Chiropr Assoc. 2013 Mar;57(1):69-75.
Urolithiasis refers to renal or ureteral calculi referred to in lay terminology as a kidney stone. Utolithiasis is a potential emergency often resulting in acute abdominal, low back, flank or groin pain. Chiropractors may encounter patients when they are in acute pain or after they have recovered from the acute phase and should be knowledgeable about the signs, symptoms, potential complications and appropriate recommendations for management.
A 52 year old male with acute right flank pain presented to the emergency department. A ureteric calculus with associated hydronephrosis was identified and he was prescribed pain medications and discharged to pass the stone naturally. One day later, he returned to the emergency department with severe pain and was referred to urology. He was managed with a temporary ureteric stent and antibiotics.
This case describes a patient with acute right flank and lower quadrant pain which was diagnosed as an obstructing ureteric calculus. Acute management and preventive strategies in patients with visceral pathology such as renal calculi must be considered in patients with severe back and flank pain as it can progress to hydronephrosis and kidney failure.
尿石症是指肾或输尿管结石，通俗说法就是肾结石。尿石症是一种潜在的急症，常导致急性腹痛、下背痛、侧腹或腹股沟疼痛。整脊治疗师可能会在患者处于急性疼痛期或急性期恢复后接诊，因此应了解其体征、症状、潜在并发症以及合适的处理建议。
一名52岁男性因急性右侧腹疼痛就诊于急诊科。检查发现输尿管结石并伴有肾积水，给他开了止痛药后让其出院，以便自然排出结石。一天后，他因剧痛再次返回急诊科，并被转诊至泌尿外科。他接受了临时输尿管支架置入术并使用了抗生素。
本病例描述了一名患有急性右侧腹和下腹部疼痛的患者，诊断为梗阻性输尿管结石。对于患有严重背痛和侧腹疼痛的患者，必须考虑对肾结石等内脏疾病患者进行急性处理和预防策略，因为病情可能发展为肾积水和肾衰竭。
