Kolster Laura, Biggs Danielle
Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ.
J Educ Teach Emerg Med. 2021 Jan 15;6(1):V12-V14. doi: 10.21980/J8GD2T. eCollection 2021 Jan.
The patient is a 66-year-old male, with a history of kidney stones, who presents to the emergency department complaining of dull, right-sided flank pain radiating to the right testicle that began one hour prior to arrival. The patient had a computed tomography (CT) of the abdomen and pelvis without contrast, which demonstrated a right renal calculus with forniceal rupture. This case represents a rare complication of a typical Emergency Department complaint; therefore, clinicians should be aware of its clinical relevance.
Flank pain, forniceal rupture, renal colic, CT scan.
该患者为66岁男性,有肾结石病史,因钝痛、右侧胁腹疼痛放射至右侧睾丸前来急诊科就诊,疼痛在到达前一小时开始。患者进行了腹部和盆腔非增强计算机断层扫描(CT),显示右肾结石伴肾盏破裂。该病例代表了典型急诊科主诉的一种罕见并发症;因此,临床医生应意识到其临床相关性。
胁腹疼痛、肾盏破裂、肾绞痛、CT扫描。