A 27-year-old man presented with a 4-week history of bilateral flank and generalized nonradiating lower abdominal pain. The pain was described as a constant ache, associated with early satiety, but without nausea/vomiting, diarrhea, melena, or hematochezia.
The patient does not have weight loss or any urinary symptoms. Medical history: Senseless recurrent right lower extremity deep vein thrombosis and bilateral testicular hydrocele Social history : Negative for tobacco smoking and alcohol use Medication history: Diphenhydramine for sleep and apixaban for deep vein thrombosis Physical examination: Temperature: 37.1°C Blood pressure: 121/69 mmHg Pulse: 96 beats/minute Respiratory rate: 16/minute Lungs and heart examination: Unremarkable Lower half abdomen: Mildly tender with palpation, no mass, rebound, or guarding Initial Laboratory Data: Urinalysis Specific gravity: 1.014 pH: 8.0 Red or…
