Abstract
An 18-year-old man presented to the emergency department with a 2-day history of dull left flank pain without vomiting. He had lost weight over the past year, and his pain episodes coincided with this. On examination, he was very slender with a blood pressure of 110/65 mm Hg and pulse rate of 111 beats/min, and he was afebrile. He experienced mild tenderness over the left costovertebral angle. Laboratory testing and urinalysis were unremarkable. Point-of-care ultrasound of the abdomen was performed (Figures 1 and 2), and the diagnosis was confirmed by contrast-enhanced computed tomography (Figure 3).
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