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However, a detailed history was inconsistent with biliary pain, and the patient, having discussed the risks and benefits, elected not to proceed with ERCPKeywords:Dietl's crisis, pelvi-ureteric junction obstruction, renography References6.Grasso M, Caruso RP, Phillips CK[Figure 1]more
Copyright (c) 2017 by American Academy of Pediatrics International Access Terms of Use Privacy Statement Dietl syndrome: Intermittent ureteropelvic junction obstruction as a cause of episodic abdominal pain[Figure 2]The keys to diagnosing Dietl's crisis are awareness of the entity, taking a detailed pain history, and timely cross-sectional abdominal imaging during an attack.PMID: 9399772 [Indexed for MEDLINE] SharePublication type, MeSH termsPublication typeCase ReportsMeSH termsAbdominal Pain/diagnosis*Arteries/abnormalitiesCholangiopancreatography, Endoscopic RetrogradeDiagnosis, DifferentialFemaleFollow-Up StudiesHumansHydronephrosis/diagnosis*Hydronephrosis/diagnostic imagingHydronephrosis/surgeryKidney/blood supplyKidney Pelvis/diagnostic imagingMiddle AgedNausea/diagnosisRecurrenceSyndromeUltrasonographyUreter/diagnostic imagingUreteral Obstruction/diagnosis*Ureteral Obstruction/diagnostic imagingUreteral Obstruction/surgeryUrographyLinkOut - more resourcesMedicalAbdominal Pain - MedlinePlus Health InformationPubMed Commons home PubMed Commons 0 commentsHow to join PubMed CommonsHow to cite this comment: The syndrome of episodic abdominal pain and hydronephrosis caused by extrinsic pressure from such an artery is known as Dietl's crisisIndian J Nucl Med [serial online] 2016 [cited2017 Aug 31];31:240-1On third follow-up day, the patient passed a lot of urine with decrease in abdominal pain and distensionPelviureteric junction obstruction and recurrent abdominal pain in childhoodThen, again the patient was sent to us 8.days after the first study for repeat RDS, which showed significant improvement in function and decreased in the size of left kidney though with persistent PUJOFigure 2: Renal dynamic scan images at post-Dietl's crisis state[1]1997 Dec;92(12):2289-91.Dietl's crisis: a syndrome of episodic abdominal pain of urologic origin that may present to a gastroenterologist.Mergener K1, Weinerth JL, Baillie J.Author information1Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.AbstractA 53-yr-old woman presented with a 2-yr history of recurrent episodes of severe abdominal pain and nauseaNLM NIH DHHS USA.gov National Center for Biotechnology Information, U.S.Figures 3c092786bf
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