Renal colic is a common reason for presentation to emergency departments, and imaging has become fundamental for the diagnosis and clinical management of this condition. Ultrasonography and particularly noncontrast computed tomography have good diagnostic performance in diagnosing renal colic. Radiologic management will depend on the tools available at the center and on the characteristics of t...

Hereditary chronic pancreatitis associated with a mutation in the serine protease inhibitor, Kazal Type-1 (SPINK-1 gene) is extremely rare. The SPINK1 mutation results in trypsinogen activation which predisposes to chronic pancreatitis predominately when combined with CFTR gene mutations. It presents as either chronic or recurrent acute pancreatitis. Symptom control and management of complicati...

Splenic artery aneurysm is a rare pathology, asymptomatic for a long time. It's in fact often revealed by its complications, such as the rupture and potentially fatal acute haemorrhage. It's incidentally discovered during instrumental exams, performed for other reasons, like the case of our woman, affected by ulcerating rectocolitis and suffering from renal colic pain, demonstrated. While surgi...

Lead poisoning in both its acute and chronic forms has been recognised since the second century BCE. Lead colic, anaemia, renal tubulopathies and motor neuropathies are well recognised. This paper sketches the early history and remembers the important contribution of Henry Burton, who described the gums to be bordered by a narrow leaden-blue line, about the one-twentieth part of an inch in widt...

Acute ligation of the common colic and caudal mesenteric artery in the dog led to ischaemic colitis, whereas the acute ligation of the common colic artery and gradual occlusion of the caudal mesenteric artery by an ameroid plastic device did not lead to ischaemic disease. These findings suggest that the collateral blood vessels do not open up rapidly enough to prevent ischaemic change when the ...

Abstract Aim To improve analgesia prescribing for patients admitted with suspected renal colic in line NICE guidelines (NG118) an acute district general hospital using a proforma. Method In the first cycle, retrospective review of 16 who presented to emergency department or surgical assessment unit was performed and recorded. A unique proforma then developed including use NSAIDS as first-line w...