对于有侧腹痛的患者，不进行造影检查会遗漏哪些情况？

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

作者信息

Gun Cem, Aldinc Hasan, Yaylaci Serpil, Gudelci Tansu, Karcioglu Ozgur

机构信息

Department of Emergency Medicine, Acıbadem University School of Medicine, Istanbul, Turkey.

Department of Urology, Acıbadem University School of Medicine, Istanbul, Turkey.

出版信息

Am J Emerg Med. 2016 Apr;34(4):765.e3-5. doi: 10.1016/j.ajem.2015.09.002. Epub 2015 Sep 10.

DOI:10.1016/j.ajem.2015.09.002

PMID:26439094

Abstract

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.

摘要

胁腹痛是急诊科常见的主诉，而胁腹痛最常见的原因是尿路结石。自发性肾动脉夹层和肾动脉血栓形成是导致腹痛的罕见原因，可导致肾实质损伤。在急诊情况下，它们大多难以诊断和治疗。本报告描述了2例因急性胁腹痛入院并被诊断为肾梗死的患者。