Background Renal colic is a painful medical emergency, needs urgent intervention to reduce pain. Nonsteroidal anti-inflammatory drugs, opioids, and entonox are pain-relieving agents. This study was aimed to compare fentanyl + entonox (nitrous oxide + O2) versus fentanyl + oxygen. Materials and Methods One hundred and twenty patients with acute renal colic presenting to the emergency departmen...

Renal US is one of several imaging modalities available to the EP in the evaluation of patients with acute urologic disorders. It offers excellent anatomic detail without exposure to radiation or contrast agents but is limited in its assessment of renal function. It is an important alternative to helical CT scanning for evaluating renal colic, especially in children and pregnant women. It has a...

OBJECTIVE To describe the sonographic appearance of ureteric obstruction due to necrosed papillae. METHODS In this study, carried out over 3 years 6 months, patients with diabetes mellitus who had renal colic were studied by sonography. RESULTS In 15 patients with hydronephrosis, there was a soft tissue mass of necrosed papillae filling the ureteric lumen at the site of obstruction. Necrose...

Background: Renal colic is one of the most common complaints among refereeing patients to emergency department (ED). Non-steroidal anti-inflammatory drugs (NSAIDs) and opioids are gold standards relieve pain. Objectives: The aim this study was evaluate effects intranasal Ketamine on pain control versus Ketorolac. Methods: In randomized clinical trial (RCT), were randomly assigned into two group...

s part of the Sound Judgment Series, this article describes the case of a patient presenting with acute flank pain and a classic clinical picture of a first episode of renal colic. The epidemiologic characteristics, pathophysiologic characteristics, risk factors, and initial assessment of patients with renal colic are briefly discussed. Imaging options are discussed, with emphasis on sonography...

Purpose: To study the safety and efficacy of intranasal desmopressin and intramuscular tramadol versus pethidine for treatment of renal colic. Materials and Methods: A total of 90 adult patients who presented with renal colic to the emergency wards were recruited in this study. The patients were randomly assigned to receive 100 mg intramuscular tramadol, 40 μg intranasal desmopressin, or 40 μg ...

Spontaneous perforation of the collecting system constitutes a rare entity masked by the presentation of a typical renal colic. However, it should not be forgotten when managing patients with colic, since missed diagnoses may carry significant morbidity. We herein present a series of spontaneous perforation of the collecting system without an apparent obstruction site evident in helical CT urog...