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Related to costovertebral angle: pyelonephritis, costochondritis, flank pain
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A physical examination revealed a mildly obese, afebrile female with severe right upper quadrant, epigastric and costovertebral angle tenderness.
Inclusion criteria were as follows: (1) acute flank pain, (2) costovertebral angle tenderness on physical examination, and (3) hematuria on urinalysis.
Postoperative events that might alert you to undetected ureteral injury include pain at the costovertebral angle, oliguria, hematuria, watery vaginal discharge, persistent fever, and abdominal distention.