Meier Casey, Grove John, Gromley Adam, Bowman Rachel
Research, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Knoxville, USA.
Family Medicine, Tennova Medical Group, Knoxville, USA.
Cureus. 2022 Jan 23;14(1):e21531. doi: 10.7759/cureus.21531. eCollection 2022 Jan.
Loin pain hematuria syndrome (LPHS) is a rare chronic pain disorder that is poorly understood. LPHS presents as unilateral or bilateral flank pain with hematuria of unknown cause. The lack of knowledge surrounding pathogenesis and effective treatment has resulted in missed diagnoses as well as narcotic addiction in some patients. In this case, we describe the presentation and management of a 30-year-old female with a history of anxiety, depression, chronic pelvic bleeding, and pain recently diagnosed with LPHS after a total hysterectomy. She presented with ongoing pelvic pain symptoms with recent tachycardia, recurrent urinary tract infections, and nephrolithiasis. Loin pain hematuria presents as a particularly rare and difficult diagnosis to manage with multiple, sometimes unpredictable, comorbidities. This case serves as an example of a unique presentation with additional uncommon symptoms.
腰背痛血尿综合征（LPHS）是一种罕见的慢性疼痛性疾病，目前人们对其了解甚少。LPHS表现为不明原因的单侧或双侧胁腹疼痛伴血尿。由于对其发病机制和有效治疗方法缺乏了解，导致一些患者被漏诊，还有一些患者出现了麻醉药物成瘾的情况。在此病例中，我们描述了一名30岁女性的临床表现及治疗过程，该女性有焦虑、抑郁病史，存在慢性盆腔出血和疼痛，在全子宫切除术后最近被诊断为LPHS。她出现持续的盆腔疼痛症状，近期伴有心动过速、反复尿路感染和肾结石。腰背痛血尿是一种特别罕见且难以诊断的疾病，常伴有多种有时不可预测的合并症。此病例是一个具有独特临床表现及其他罕见症状的例子。
