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.