Case 33311

Abstract

Presentation of CaseA twenty-four-year-old man was admitted to the hospital because of pain in the back.Two weeks prior to admission the patient noted a steady dull aching pain in the right flank, lasting about five or six hours and then subsiding. Four days later it recurred in the left flank, and subsequently he was never free from pain in either the right or left flank. The pain radiated to the front of the abdomen, was sometimes made worse by deep breathing, caused anorexia and at times prevented sleep. He had taken fluids without vomiting. He had noted an . . .