HomeClinicalBack pain, with nausea provoked by drinking

Back pain, with nausea provoked by drinking

    Author: Carlo Catalano, MD, Rome, Italy
    Body Region: Abdomen and Pelvis

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • A 26-year-old man presented with intense, continuous pain localized to the back and sometimes
      to the flank, associated with nausea and vomiting and precipitated after drinking water.

    • The patient had no history of trauma, colicky pain or febrile urinary tract infections.
    • Laboratory testing indicated slightly increased serum levels of creatinine, but no hematuria.
    • Ultrasound of the kidney and lower urinary tract showing mild renal pelvis dilatation.
    • Contrast-enhanced CT of the pelvis was performed.