ORCID

0000-0002-0302-5292 (Cipi), 0009-0001-5281-2524 (Pierce)

Document Type

Article

Publication Date

2025

DOI

10.1016/j.acepjo.2025.100248

Publication Title

JACEP Open

Volume

6

Issue

5

Pages

100248

Abstract

[Introduction] A 32-year-old woman with no significant past medical history presented to the emergency department with 11 days of fever, fatigue, chills, and new-onset fullness in her left flank. She denied dysuria, abdominal pain, or vaginal bleeding. Vital signs showed fever and mild hypotension, and the physical examination revealed left-sided abdominal distension. Laboratory results demonstrated leukocytosis and a lactate of 3.2 mmol/L. She appeared nontoxic but was persistently febrile despite initial fluids and antibiotics. Computed tomography—shown in Figure 1, and ultrasound—shown in Figure 2, were obtained and revealed the diagnosis.

Rights

© 2025 The Authors.

This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.

Original Publication Citation

Miller, R., Cipi, A., & Pierce, E. (2025). Wrongful migration: A hidden culprit behind flank pain. JACEP Open, 6(5), Article 100248. https://doi.org/10.1016/j.acepjo.2025.100248

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