Flank-pain: Causes & Reasons

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Possible Causes for flank pain

Urinary Tract Infection

A 40-year-old female presented in severe sepsis and complaining of flank pain. [ncbi.nlm.nih.gov]

With that being said, if you develop signs of a kidney infection, including flank pain, nausea, or vomiting, you need to see a doctor immediately. [verywell.com]

Patients with UTI and any combination of fever, flank pain, or CVA tenderness should be treated appropriately for pyelonephritis. [microbiologybook.org]

Pelvic Inflammatory Disease

A 62-year-old woman presented with a 2-week history of left flank pain and high fever, but no abdominal pain. She had forgotten the use of an IUD. [ncbi.nlm.nih.gov]

Renal Colic

We sought to examine the validity of this score in younger, noninfected flank pain patients. [ncbi.nlm.nih.gov]

The case of a patient with acute onset of flank pain and hematuria is presented. Initial therapy was directed toward relief of pain believed to be caused by renal colic. [ncbi.nlm.nih.gov]

[…] explain the patient’s flank pain and presentation. [pubs.rsna.org]

Muscle Strain

A left gastrocnemius strain was sustained by an elite cricket batsman while he was taking off to run. The exact moment of injury, captured by a camera in the middle stump, appears to correspond to the sudden appearance of a deficit in the gastrocnemius muscle, seen through the player's trousers. The strain[…] [ncbi.nlm.nih.gov]

Nephrolithiasis

Several months later, the patient developed flank pain on the opposite side. [ncbi.nlm.nih.gov]

A 36-year-old man was admitted to hospital due to right flank pain as a result of ureteral stones. [ncbi.nlm.nih.gov]

Potentially presenting with acute abdominal or flank pain, nausea, or emesis, it may pose as a general surgical condition. [ncbi.nlm.nih.gov]

Pyelonephritis

Physical examination revealed right-sided flank pain and a right-sided unilateral renal mass. [ncbi.nlm.nih.gov]

Signs and symptoms include fever, chills, flank pain, painful and frequent urination, cloudy or bloody urine, and confusion Inflammation of the kidney and its pelvis due to [icd9data.com]

CASE PRESENTATION: A 53-year-old Chinese premenopausal woman presented with intermittent right flank pain for many years. [ncbi.nlm.nih.gov]

Acute Pyelonephritis

A 60-year-old diabetic woman was admitted with a 3 day history of fever and left flank pain due to acute pyelonephritis. [ncbi.nlm.nih.gov]

Clinically, it is difficult to distinguish between acute pyelonephritis and RVT because both present with fever, flank pain, and hematuria. [ncbi.nlm.nih.gov]

She was admitted to our hospital due to fever and flank pain which had developed 10 days earlier. Urinalysis showed many WBC and urine culture revealed Escherichia coli. [ncbi.nlm.nih.gov]

Ureterolithiasis

And, over half of the 291 patients identified as having “flank pain” didn’t receive any documented imaging. [emlitofnote.com]

pain. [ncbi.nlm.nih.gov]

—55-year-old woman with left-sided flank pain. Unenhanced CT scan reveals severe periureteral stranding. [ajronline.org]

Renal Pelvic Calculus

Spiral computerized tomography in the evaluation of acute flank pain: A replacement for excretory urography. J Urol 1997;157:2071-3. 10. [wajradiology.org]

Presentation Left flank pain Patient Data Age: 25 Gender: Male 2 case questions available Loading images... [radiopaedia.org]

Ureteral calculi in patients with flank pain: Correlation of plain radiography with unenhanced helical CT. Radiology 1997;204:27-31. 11. [wajradiology.org]

Pseudomonas Aeruginosa

A two-stage approach to total knee arthroplasty (TKA) using an antibiotic-impregnated articulating cement spacer is an option for an infected arthritic knee. Vancomycin combined with broad-spectrum antibiotics can be used to make an antibiotic-impregnated articulating cement spacer. Causative organisms are[…] [ncbi.nlm.nih.gov]

Infectious Mononucleosis

The objective is to report a case of atypical acute infectious mononucleosis in a juvenile ankylosing spondylitis patient who was treated with infliximab. A 20-year-old man was hospitalized for the evaluation of lymphadenopathy and systemic symptoms. His symptoms developed at the eighth week of the infliximab[…] [ncbi.nlm.nih.gov]

Inguinal Hernia

He complained of pain in the left abdominal flank and in the lower abdomen. The lower abdomen was tender, moderate distended but not rigid. [ncbi.nlm.nih.gov]

He did not show any tachycardia, had no abdominal pain, no signs of bruising or bleeding in his abdomen, flanks, or scrotum. [ncbi.nlm.nih.gov]

[…] or back pain, fever, inguinal mass, limp, weight loss Sebaceous cyst Soft mass, nontender, more superficial, no change with Valsalva maneuver Testicular torsion Acute onset [aafp.org]

Appendicitis

Flank pain, ... [accessmedicine.mhmedical.com]

During pregnancy, the pain may shift upward toward the upper right quadrant after the first trimester. There may also be some back or flank pain. [medicalnewstoday.com]

For example, a retrocecal appendix can produce right flank or pelvic pain, whereas malrotation of the colon results in transposition of the appendix and, subsequently, pain [accessmedicine.mhmedical.com]

Diverticulosis

[…] with rebound and guarding (perforation) Urinary tract findings (colovesicular/colovaginal fistula) include suprapubic, flank, costovertebral tenderness; pneumaturia (air [emedicine.medscape.com]

Abdominal distention Tympanic abdomen to percussion A tender mass (abscess formation) Hypo- or hyperactive bowel sounds Absent bowel sounds (perforation) Generalized abdominal pain [emedicine.medscape.com]

Hydronephrosis

PURPOSE: Maternal hydronephrosis may cause flank pain during pregnancy. We aimed to investigate the association between maternal hydronephrosis and flank pain intensity. [ncbi.nlm.nih.gov]

RESULTS: Of the 472 patients, 292 (62%) had preoperative hydronephrosis and 121 (26%) presented with flank pain. [ncbi.nlm.nih.gov]

UTI and pain may also occur. Call your health care provider if you have ongoing or severe flank pain, or fever, or if you think you may have hydronephrosis. [nlm.nih.gov]

Acute Cystitis

Conversely, recurrent urinary tract infections in sexually active women without flank pain suggestive of kidney inflammation, without obvious bleeding, and normally with no [urologyweb.com]

[…] or complicated UTI should be considered. 2,4 Pyelonephritis should be suspected if the patient experiences nausea, vomiting, flank pain, fever, and/or costovertebral angle [uspharmacist.com]

These patients may also complain of fever, lower abdominal or flank pain, and hematuria. These patients are often not toxic or severely ill. [lecturio.com]

Uterine Leiomyoma

pain resulting from ureteral compression and hydronephrosis Infertility Rarely, lower extremity edema, constipation, or intestinal obstruction Management of uterine fibroids [emedicine.medscape.com]

Pelvic pressure Abdominal distention Genitourinary dysfunction, which may manifest as the following: increased urinary frequency resulting from bladder compression, and flank [emedicine.medscape.com]

Chronic Pyelonephritis

Chronic Pyelonephritis may come to attention during an episode of acute pyelonephritis with its attendant constitutional symptoms, flank pain, bacteruria, and pyuria. [pathwaymedicine.org]

In children, symptoms such as fever, lethargy, flank pain, and nausea may be present. [lecturio.com]

Symptoms may be absent or may include fever, malaise, and flank pain. Diagnosis is with urinalysis, culture, and imaging tests. [msdmanuals.com]

Angiomyolipoma

These tumors demonstrate a slight female predominance and can present either incidentally or with symptoms, commonly flank pain and hematuria. [ncbi.nlm.nih.gov]

A 38-year-old woman presented with a dry cough and left flank pain. She had a right nephrectomy for renal angiomyolipoma 17 years ago. [ncbi.nlm.nih.gov]

Cross sectional imaging of twenty five years female patient with tuberous sclerosis presenting with right flank pain, fever and anemia showing A. [oatext.com]

Renal Cell Carcinoma

Indicators of symptomatic presentations include flank pain, flank mass, varicocele, constitutional symptoms, paraneoplastic syndromes and bone pain related to metastatic disease [jmedicalcasereports.biomedcentral.com]

Tumor is presented with characteristic findings of flank pain, gross hematuria, and palpable mass. [ncbi.nlm.nih.gov]

Now the patient presents with dull R flank pain. [cancertherapyadvisor.com]

Ureteral Stricture

Several months later the flank pain recurred, and IVP now showed a calcified stone midway in the left ureter. [ncbi.nlm.nih.gov]

A 10-month follow-up showed resolution of hydronephrosis with no flank pain. [ncbi.nlm.nih.gov]

pain. [ncbi.nlm.nih.gov]

Ureteral Obstruction

A 45-year-old male admitted to our clinic of symptoms with moderate left flank pain and intermittant macroscopic hematuria. [ncbi.nlm.nih.gov]

Both patients had flank pain, elevated creatinine, and signs of complete obstruction on CT scan. [ncbi.nlm.nih.gov]

A 62-year-old woman presented with a 2-week history of left flank pain and high fever, but no abdominal pain. She had forgotten the use of an IUD. [ncbi.nlm.nih.gov]

Abscess

Unenhanced helical computed tomography vs intravenous urography in patients with acute flank pain: accuracy and economic impact in a randomized prospective trial. [choosingwisely.org]

Hereditary Renal Cell Carcinoma

The symptom triad of flank pain, hematuria and a palpable abdominal mass is sometimes described as characteristic of RCC - and it should surely prompt further studies - but [symptoma.com]

Only 10% of patients present with the classic triad of flank pain, hematuria, and flank mass. [emedicine.medscape.com]

This classic triad[8] is 1: haematuria, which is when there is blood present in the urine, 2: flank pain, which is pain on the side of the body between the hip and ribs, and [en.wikipedia.org]

Renal Papillary Necrosis

We describe a patient with bilateral RPN and EPN caused by Candida tropicalis, who suffered from recurrent hematuria, flank pain, acute fulminant renal failure, and obstruction [ncbi.nlm.nih.gov]

Flank pain and dysuria were present in 11 patients (41%). As a rule oliguria was rare and progressive uremia was uncommon. [ncbi.nlm.nih.gov]

Calyceal or ureteral obstruction by sloughed papillae manifest with flank pain, hematuria and varying degrees of renal impairment. [radiopaedia.org]

Urolithiasis

The clinical presentation can lack many of the clinical clues such as flank pain that are seen in older patients. [ncbi.nlm.nih.gov]

The nutcracker syndrome, caused by compression of the left renal vein between the superior mesenteric artery and the aorta, usually manifests with hematuria, flank pain and [ncbi.nlm.nih.gov]

A 12-year-old girl was admitted to ward because of persistent left flank pain, vomiting, and hematuria. [ncbi.nlm.nih.gov]

Arterial Embolism

[…] and paresthesias suggestive of acute limb ischemia, and left flank pain suggestive of splenic and/or renal infarction. [intjem.biomedcentral.com]

The most common symptom was either abdominal or left flank pain (80% of episodes), while the most common sign was upper left quadrant tenderness (35% of episodes) [ 15 ]. [intjem.biomedcentral.com]

Because patients present with abdominal or flank pain that mimics other conditions, such as nephrolithiasis and pyelonephritis, renal infarction is under-diagnosed and frequently [intjem.biomedcentral.com]

Retrocecal Appendicitis

A 3-year-old girl presented with high fever and right flank pain for more than 1 week. [ncbi.nlm.nih.gov]

RESULTS: Patients presented with right lower abdominal pain (49%, 16/33), right flank pain (24%, 8/33), right upper abdominal pain (18%, 6/33), and periumbilical pain (15% [ncbi.nlm.nih.gov]

The diagnosis was delayed in four patients and two had flank pain. Five of the twelve appendices were either gangrenous or perforated. [ncbi.nlm.nih.gov]

Leiomyosarcoma

An IVC filter was inserted, and the patient was discharged home, but 20 days later, she returned to the hospital with worsening right flank pain. [ncbi.nlm.nih.gov]

pain Left RCC 3 2.5 RN Yes 6.5 years No No 9 [ 6 ] 2009 42 Female Flank pain Right RCC 15 RN No 7 months No No 10 [ 22 ] 2009 71 Male Flank mass Left RCC 13 6.5 RN Yes 7 [jcmtjournal.com]

Case Report A 56-year-old man with hematuria and left flank pain presented to the Inje University Haeundae Paik Hospital. [omicsonline.org]

Renal Hematoma

The most common symptoms of renal hematoma are severe flank pain and hematuria. [ncbi.nlm.nih.gov]

She complained of right flank pain and fever and the findings following abdominal echography, computerized tomography (CT) scan and renal angiography agreed with a diagnosis [ncbi.nlm.nih.gov]

I also have an ovarian cyst which they are removing this week to see if my flank pain could be referred pain from that. [csn.cancer.org]