Possible Causes of Pain in the Loin

  1. Renal:
    • Stone
    • Malignancy
    • Infections (pyelonephritis, perinephric abscess, etc.)
    • Polycystic kidney
    • Dietl’s crisis-A sudden attack of acute lumbar and abdominal pain accompanied by nausea and vomiting, caused by kinking of the ureter in persons with wandering kidney.
  2. Extra-renal:
    • Acute pancreatitis
    • Cholecystitis
    • Appendicitis
    • Porphyria
    • Ruptured duodenal ulcer or spleen
    • Ectopic gestation

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