What do we miss without contrast in patients with flank pain?

Gun C., Aldinc H., Yaylaci S., Gudelci T., Karcioglu O.

The American journal of emergency medicine, vol.34, no.4, 2016 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 4
  • Publication Date: 2016
  • Doi Number: 10.1016/j.ajem.2015.09.002
  • Journal Name: The American journal of emergency medicine
  • Journal Indexes: Science Citation Index Expanded


Flank pain is a common complaint in the emergency department, and the most frequent cause of flank pain is urolithiasis. Spontaneous renal artery dissection and renal artery thrombosis are rare causes of abdominal pain which can result in renal parenchymal injury. They are mostly difficult to diagnose and treat in the emergency setting. The present report describes 2 patients admitted to the emergency department because of acute flank pain who were diagnosed with renal infarction.