PMID- 26453939
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20151111
LR  - 20240324
IS  - 2210-2612 (Print)
IS  - 2210-2612 (Electronic)
IS  - 2210-2612 (Linking)
VI  - 16
DP  - 2015
TI  - Loin to groin pain: The importance of a differential diagnosis.
PG  - 122-6
LID - S2210-2612(15)00424-1 [pii]
LID - 10.1016/j.ijscr.2015.09.032 [doi]
AB  - INTRODUCTION: Ureteric colic frequently presents as loin to groin pain and 
      accounts for a significant proportion of emergency urological admissions. 
      However, a number of differential diagnoses should be considered in a systematic 
      approach when assessing patients. PRESENTATION OF CASE: We report a case of a 30 
      year old man admitted with severe unilateral loin to groin pain following lumbar 
      specific weightlifting exercises. After a significant delay due to initial 
      mis-diagnosis he was diagnosed with acute paravertebral lumbar compartment 
      syndrome (PVCS) and managed conservatively. DISCUSSION: Exertional PVCS is a rare 
      and potentially life threatening condition arising following lumbar specific 
      exercise that has only been recorded a handful of times previously. Patients 
      typically present with intractable lumbar pain and rhabdomyolysis 6-12h following 
      exercise. Due to initial diagnostic delay our case was managed conservatively 
      with fluid resuscitation and monitoring of renal function. CONCLUSION: Assessment 
      of patients with loin pain requires a systematic approach. PVCS is a rare cause 
      of lumbar back and loin pain but one that should be considered, particularly in 
      active young males. Early diagnosis is key to prevent the potential sequalae of 
      untreated rhabdomyolysis. There is currently no consensus on management option 
      for PVCS with only a few cases being reported in the literature. We describe 
      successful management with supportive non operative treatment.
CI  - Crown Copyright (c) 2015. Published by Elsevier Ltd. All rights reserved.
FAU - Smith, Alexander E P
AU  - Smith AE
AD  - Maidstone and Tunbridge Wells NHS Foundation Trust, 3rd Floor Seminar Room, The 
      Tunbridge Wells Hospital, Tonbridge Road, Tunbridge Wells, Kent TN24QJ, United 
      Kingdom. Electronic address: aeps1989@doctors.org.uk.
FAU - Bhatti, Ibrahim N
AU  - Bhatti IN
AD  - Maidstone and Tunbridge Wells NHS Foundation Trust, 3rd Floor Seminar Room, The 
      Tunbridge Wells Hospital, Tonbridge Road, Tunbridge Wells, Kent TN24QJ, United 
      Kingdom.
FAU - Hester, Thomas
AU  - Hester T
AD  - Guy's and St. Thomas' NHS Foundation Trust, St. Thomas' Hospital Fracture Clinic, 
      Westminster Bridge Road, London SE17EH, United Kingdom.
FAU - Ritchie, James F S
AU  - Ritchie JF
AD  - Maidstone and Tunbridge Wells NHS Foundation Trust, 3rd Floor Seminar Room, The 
      Tunbridge Wells Hospital, Tonbridge Road, Tunbridge Wells, Kent TN24QJ, United 
      Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20151012
PL  - Netherlands
TA  - Int J Surg Case Rep
JT  - International journal of surgery case reports
JID - 101529872
PMC - PMC4643462
OTO - NOTNLM
OT  - Colic
OT  - Compartment
OT  - Paravertebral
OT  - Rhabdomyolysis
OT  - Syndrome
EDAT- 2015/10/11 06:00
MHDA- 2015/10/11 06:01
PMCR- 2015/10/12
CRDT- 2015/10/11 06:00
PHST- 2015/07/21 00:00 [received]
PHST- 2015/09/23 00:00 [revised]
PHST- 2015/09/24 00:00 [accepted]
PHST- 2015/10/11 06:00 [entrez]
PHST- 2015/10/11 06:00 [pubmed]
PHST- 2015/10/11 06:01 [medline]
PHST- 2015/10/12 00:00 [pmc-release]
AID - S2210-2612(15)00424-1 [pii]
AID - 10.1016/j.ijscr.2015.09.032 [doi]
PST - ppublish
SO  - Int J Surg Case Rep. 2015;16:122-6. doi: 10.1016/j.ijscr.2015.09.032. Epub 2015 
      Oct 12.