Abstract
A 26-year-old woman presented to the emergency department with 2 weeks of intermittent right-sided flank pain, nausea, and vomiting. She reported several days of hematuria but denied dysuria, fever, or chills. Vital signs were unremarkable, and physical examination demonstrated moderate right costovertebral angle tenderness. Urine studies showed RBCs and WBCs too numerous to count, few bacteria, and a negative pregnancy test result. After emergency ultrasonography was performed (Figures 1 to 3), a urology consultation and computed tomography (CT) of the abdomen and pelvis were obtained (Figure 4).
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