INTRODUCTION: Ureteric colic frequently presents as loin to groin @entity158 and accounts for a significant proportion of emergency urological admissions. However, a number of differential diagnoses should be considered in a systematic approach when assessing @entity1 . PRESENTATION OF CASE: We report a case of a 30 year old @entity1 admitted with severe unilateral loin to groin @entity158 following lumbar specific weightlifting exercises. After a significant delay due to initial mis-diagnosis he was diagnosed with acute @entity2054 ( @entity2054 ) and managed conservatively. DISCUSSION: Exertional @entity2054 is a rare and potentially life threatening condition arising following lumbar specific exercise that has only been recorded a handful of times previously. @entity1 typically present with intractable @entity158 and @entity5925 6-12h following exercise. Due to initial diagnostic delay our case was managed conservatively with fluid resuscitation and monitoring of renal function. CONCLUSION: Assessment of @entity1 with @entity158 requires a systematic approach. @entity2054 is a rare cause of lumbar back and @entity158 but one that should be considered, particularly in active young males. Early diagnosis is key to prevent the potential sequalae of untreated @entity5925 . There is currently no consensus on management option for @entity2054 with only a few cases being reported in the literature. We describe successful management with supportive non operative treatment.

Loin to groin XXXX : The importance of a differential diagnosis.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'man'] @entity5925 :: ('MESH:D012206', 'Disease') :: ['rhabdomyolysis'] @entity2054 :: ('MESH:D003161', 'Disease') :: ['PVCS', 'paravertebral lumbar compartment syndrome'] @entity158 :: ('MESH:D010146', 'Disease') :: ['lumbar pain', 'loin pain', 'pain']
@entity158 :: (MESH:D010146,Disease) :: ['pain']
