An 82-year-old female with chest pain radiating to the back and flank

An 82 year-old female presents with severe, sharp right-sided chest, shoulder and flank pain, worse with deep inspiration. Cardiac workup is negative for myocardial ischemia or aortic dissection. Computed tomography demonstrates a right posterior diaphragmatic (Bochdalek) hernia, involving the right...

Descripción completa

Detalles Bibliográficos
Autores principales: Nassiri, Nima, Maas, Marissa, Asanad, Kian, Hwang, Darryl, Duddalwar, Vinay, Bhanvadia, Sumeet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217988/
https://www.ncbi.nlm.nih.gov/pubmed/32420036
http://dx.doi.org/10.1016/j.eucr.2020.101220
_version_ 1783532702058676224
author Nassiri, Nima
Maas, Marissa
Asanad, Kian
Hwang, Darryl
Duddalwar, Vinay
Bhanvadia, Sumeet
author_facet Nassiri, Nima
Maas, Marissa
Asanad, Kian
Hwang, Darryl
Duddalwar, Vinay
Bhanvadia, Sumeet
author_sort Nassiri, Nima
collection PubMed
description An 82 year-old female presents with severe, sharp right-sided chest, shoulder and flank pain, worse with deep inspiration. Cardiac workup is negative for myocardial ischemia or aortic dissection. Computed tomography demonstrates a right posterior diaphragmatic (Bochdalek) hernia, involving the right extra-renal pelvis and proximal ureter, with an associated delayed nephrogram and mild hydronephrosis. There is no obstructing nephrolithiasis. The patient is taken to the operating room and right-sided double-J ureteral stent is placed (Fig. 1), with immediate resolution of pain. Diaphragmatic hernia repair in coordination with urology and general surgery is scheduled.
format Online
Article
Text
id pubmed-7217988
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-72179882020-05-15 An 82-year-old female with chest pain radiating to the back and flank Nassiri, Nima Maas, Marissa Asanad, Kian Hwang, Darryl Duddalwar, Vinay Bhanvadia, Sumeet Urol Case Rep Trauma and Reconstruction An 82 year-old female presents with severe, sharp right-sided chest, shoulder and flank pain, worse with deep inspiration. Cardiac workup is negative for myocardial ischemia or aortic dissection. Computed tomography demonstrates a right posterior diaphragmatic (Bochdalek) hernia, involving the right extra-renal pelvis and proximal ureter, with an associated delayed nephrogram and mild hydronephrosis. There is no obstructing nephrolithiasis. The patient is taken to the operating room and right-sided double-J ureteral stent is placed (Fig. 1), with immediate resolution of pain. Diaphragmatic hernia repair in coordination with urology and general surgery is scheduled. Elsevier 2020-05-04 /pmc/articles/PMC7217988/ /pubmed/32420036 http://dx.doi.org/10.1016/j.eucr.2020.101220 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Trauma and Reconstruction
Nassiri, Nima
Maas, Marissa
Asanad, Kian
Hwang, Darryl
Duddalwar, Vinay
Bhanvadia, Sumeet
An 82-year-old female with chest pain radiating to the back and flank
title An 82-year-old female with chest pain radiating to the back and flank
title_full An 82-year-old female with chest pain radiating to the back and flank
title_fullStr An 82-year-old female with chest pain radiating to the back and flank
title_full_unstemmed An 82-year-old female with chest pain radiating to the back and flank
title_short An 82-year-old female with chest pain radiating to the back and flank
title_sort 82-year-old female with chest pain radiating to the back and flank
topic Trauma and Reconstruction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217988/
https://www.ncbi.nlm.nih.gov/pubmed/32420036
http://dx.doi.org/10.1016/j.eucr.2020.101220
work_keys_str_mv AT nassirinima an82yearoldfemalewithchestpainradiatingtothebackandflank
AT maasmarissa an82yearoldfemalewithchestpainradiatingtothebackandflank
AT asanadkian an82yearoldfemalewithchestpainradiatingtothebackandflank
AT hwangdarryl an82yearoldfemalewithchestpainradiatingtothebackandflank
AT duddalwarvinay an82yearoldfemalewithchestpainradiatingtothebackandflank
AT bhanvadiasumeet an82yearoldfemalewithchestpainradiatingtothebackandflank
AT nassirinima 82yearoldfemalewithchestpainradiatingtothebackandflank
AT maasmarissa 82yearoldfemalewithchestpainradiatingtothebackandflank
AT asanadkian 82yearoldfemalewithchestpainradiatingtothebackandflank
AT hwangdarryl 82yearoldfemalewithchestpainradiatingtothebackandflank
AT duddalwarvinay 82yearoldfemalewithchestpainradiatingtothebackandflank
AT bhanvadiasumeet 82yearoldfemalewithchestpainradiatingtothebackandflank

Ejemplares similares