Endoscopic Findings in Loin Pain Hematuria Syndrome
Author Information
Author(s): Benjamin K. Canales, Andrew Lukasewycz, Stephen Monga, Manoj Monga
Primary Institution: University of Minnesota
Hypothesis
These endoscopic findings may represent a clinical, endoscopic manifestation of glomerular hemorrhage and obstruction that has not been previously reported.
Conclusion
The study provides objective confirmation of underlying pathology in patients with loin pain hematuria syndrome.
Supporting Evidence
- Both patients underwent diagnostic ureteroscopy using minimal irrigation fluid.
- Diffuse bleeding in a pattern of ring-like clots was noted from each fornix surrounding all calyces of the collecting system.
- All other treatable causes of pain and hematuria were ruled out before the diagnosis of LPHS.
Takeaway
Doctors looked inside the kidneys of two patients with severe pain and found clots that might explain their symptoms.
Methodology
Two patients underwent ureteroscopic evaluation using a no-touch technique to inspect the collecting system of the kidneys.
Limitations
The study is based on only two cases, and a larger series is needed to confirm the results.
Participant Demographics
Two female patients aged 18 and 26 with a history of severe flank pain and hematuria.
Digital Object Identifier (DOI)
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