Richard G. Kachel, MD
To The Editor: I have been unable to find any reported association of acute elevation of creatine kinase with the passage of a renal stone. I wish to report the following case documenting this occurrence.
A 73-year-old white man developed sudden, severe, left flank pain. He came to the emergency department and a urinalysis showed microhematuria. An intravenous pyelogram showed a calcified stone in the right renal calyx and a second calcified stone partially obstructing the left ureter. The patient was given analgesics and was discharged. Because of intermittent, severe pain in the left flank and vomiting, he returned and
Kachel RG. Ureterolithiasis and Creatine Kinase. Ann Intern Med. ;110:1036. doi: 10.7326/0003-4819-110-12-1036_1
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Published: Ann Intern Med. 1989;110(12):1036.
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