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Point-of-Care Ultrasound Identifies Urinoma Complicating Simple Renal Colic: A Case Series and Literature Review.

Authors
  • Thom, Christopher1
  • Eisenstat, Matthew1
  • Moak, James1
  • 1 Department of Emergency Medicine, University of Virginia Health System, Charlottesville, Virginia.
Type
Published Article
Journal
The Journal of emergency medicine
Publication Date
Apr 21, 2018
Identifiers
DOI: 10.1016/j.jemermed.2018.02.033
PMID: 29691067
Source
Medline
Keywords
License
Unknown

Abstract

We present three cases of unanticipated perinephric fluid collections identified initially on POC ultrasound in cases of suspected simple renal colic. Concomitant hydronephrosis was also seen in each of these cases. Why Should an Emergency Physician Be Aware of This? While the utilization of POC ultrasound in cases of suspected renal colic increases, we should be prepared to encounter and identify perinephric fluid collections in our evaluations. Although the ideal management of these cases is not completely defined from the current literature, we benefit from knowing how to identify these on POC ultrasound, understanding the underlying pathophysiology, and appreciating the possibility of complications that may arise.

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