{
  "abstract": "A young female in her 30s presented with right lumbar and flank pain after performing deadlift exercises at the gym. Whilst initially thought to have a presentation of acute musculoskeletal back pain, she had two unexpected syncopal episodes whilst in the waiting room. She went on to be diagnosed with an unexpected grade V renal injury and active retroperitoneal haemorrhage. She became haemodynamically unstable and was treated using the hospital major haemorrhage protocol. The patient was ultimately transferred to a tertiary centre, where she underwent renal artery embolisation successfully.Atraumatic renal injury is rare and has only been described in a few case reports. Classic signs, as well as point-of-care ultrasound, are sometimes unreliable for diagnosing retroperitoneal haemorrhage. Therefore, emergency physicians must keep renal injuries within the differential diagnosis of flank pain even in the absence of overt trauma.",
  "authors": [
    {
      "affiliations": [
        "Emergency Medicine, Chelsea and Westminster Healthcare NHS Trust, London, England, UK"
      ],
      "name": "Phaedra Rampersad"
    },
    {
      "affiliations": [
        "Emergency Medicine, Chelsea and Westminster Healthcare NHS Trust, London, England, UK"
      ],
      "name": "Silas Webb"
    },
    {
      "affiliations": [
        "Emergency Medicine, Chelsea and Westminster Healthcare NHS Trust, London, England, UK"
      ],
      "name": "David Connor"
    }
  ],
  "title": "Atraumatic grade five renal injury",
  "uid": "e94181cd-389c-5a1d-bc27-0613c2174afa"
}