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Case Report: Not Your Typical Kidney Stone
Laura Kolster1, Danielle Biggs1
1Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ.
Journal of Education & Teaching in Emergency Medicine
|July 19, 2023
Summary
A rare complication of kidney stones, forniceal rupture, can cause flank pain. This case highlights the importance of recognizing this condition, even with typical symptoms, for prompt diagnosis and management.
Area of Science:
- Nephrology
- Urology
- Emergency Medicine
Background:
- Renal colic, often caused by kidney stones, is a common emergency department presentation.
- Forniceal rupture is a rare but significant complication of renal calculi.
- Accurate diagnosis is crucial for appropriate patient management.
Purpose of the Study:
- To report a rare case of forniceal rupture secondary to a renal calculus.
- To emphasize the clinical relevance of recognizing this complication in the emergency department.
Main Methods:
- A case study of a 66-year-old male with a history of kidney stones.
- Diagnostic imaging included a computed tomography (CT) scan of the abdomen and pelvis without contrast.
Main Results:
- The CT scan revealed a right renal calculus causing forniceal rupture.
- The patient presented with acute right-sided flank pain radiating to the testicle.
Conclusions:
- Forniceal rupture is a rare complication of renal stones that can present with typical flank pain.
- Clinicians should maintain a high index of suspicion for forniceal rupture in patients with renal colic.
- Awareness of this rare complication is essential for timely diagnosis and treatment.
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