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Erschienen in:
02.10.2017 | Original Article
Right Flank Erythema After a Fall
Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 4/2018
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A 63-year-old male presented to the emergency room complaining of back pain and feeling unwell after a fall 5 days ago. He complained of some nausea but no vomiting, described his bowel habits as regular and was tolerating an oral intake. He said he had tripped and had fallen heavily onto his right side. He had experienced severe pain since mainly located in his right lower back. He had a history of an anxiety disorder, chronic lower back pain, and heavy oral narcotic and benzodiazepine use. He had no prior abdominal surgery. In the emergency room, he was noted to be afebrile, with no focal abdominal tenderness or distension. Erythema was noted over the right flank and lower back, and this area was mildly tender to deep palpation (Fig. 1a). No midline spine tenderness was noted and a neurological examination was normal. No other external injuries from the fall were noted.
Fig. 1
a Photograph showing right flank erythema. b CT of the abdomen and pelvis
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