Diagnostic and Therapeutic Endoscopy
Volume 2008 (2008), Article ID 721850, 3 pages
doi:10.1155/2008/721850
Case Report

Endoscopic Findings in Loin Pain Hematuria Syndrome: Concentric Clot in Calyceal Fornices

Benjamin K. Canales, Andrew Windsperger, Stephen Lukasewycz, and Manoj Monga

Department of Urologic Surgery, University of Minnesota, Minneapolis, MN 55455-0392, USA

Received 24 October 2008; Accepted 25 December 2008

Academic Editor: J. Stuart Wolf

Copyright © 2008 Benjamin K. Canales et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The loin pain hematuria syndrome (LPHS) creates a considerable burden, both for patients afflicted with the disease and for those involved in medical management and diagnosis. To date, the diagnosis of LPHS remains one of exclusion, with some speculation regarding the extent of actual pathology. We report ureteroscopic findings in 2 cases of LPHS. These findings provide objective confirmation of underlying pathology in a difficult-to-manage disease process.