Ultrasound Case ReviewPoint-of-Care Ultrasound Diagnosis of Ureteropelvic Junction Obstruction in a Child With Recurrent Abdominal Pain and VomitingFox, Evan M. MD, MS; Kasmire, Kathryn E. MD, MSEditor(s): Deanehan, J. Kate MD, RDMS, Associate Editor Author Information From the Department of Emergency Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA. Disclosure: The authors declare no conflict of interest. Reprints: Evan Fox, MD, 1600 E High St, Emergency Department, Pottstown, PA 19464 (e-mail: [email protected]). Pediatric Emergency Care: October 2020 - Volume 36 - Issue 10 - p 497-499 doi: 10.1097/PEC.0000000000002228 Buy Metrics Abstract A case is described of a 4 year-old girl who presented with chronic episodic abdominal pain with vomiting. Physical examination was unremarkable aside from hypertension. Point-of-care renal ultrasound showed hydronephrosis, leading to a diagnosis of ureteropelvic junction obstruction presenting with Dietl crisis (episodic abdominal pain secondary to urinary tract obstruction). The clinical utility of point-of-care renal ultrasound in the evaluation of abdominal pain and ultrasound findings of ureteropelvic junction obstruction are highlighted. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.