Nephritic colic as a clinical presentation of a complicated aneurysm. A case report
Keywords:
iliac aneurysm, renal colicAbstract
A 76-year-old man presented to the emergency department four hours after the onset of colic pain in the left flank and genital irradiation. Three hours after being discharged with diagnosis of non complicated renal colic, he came back presenting symptoms and signs of shock. Laboratory evaluation revealed leukocytosis, anemia, hematuria and elevated serum creatinine. Two abdominal ultrasonographies were performed with no demonstration of specific pathology. Eventually, a Computed Tomography was needed to confirm the diagnosis of complicated hypogastric artery aneurysm. Several conditions may mimic renal colic caused by lithiasis such as ectopic pregnancy, intestinal obstruction, acute mesenteric ischemia, pyelonephritis, aortic aneurysm, etc. Most of them have a great mortality rate without an early diagnosis and management.
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Copyright (c) 2016 L Letona-Giménez, JM García-Bruñen, G Acebes-Repiso, U Asín-Samper
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