A 26-yr-old woman, with an intrauterine pregnancy at 29 6⁄7 weeks’ gestation, presented to the emergency room of The Milton S. Hershey Medical Center reporting severe pain in the right flank. Abdominal ultrasound did not show a renal or ureteral calculus, but delayed contrast filling of the right urinary collecting system seen on an abdominal computed tomography scan was consistent with right u...

Today, CT has assumed the diagnostic role as the primary urologic imaging modality. The diagnostic value of urological CT is threefold. First, unenhanced CT has essentially replaced the IVP as the imaging test of choice for patients with symptoms of acute renal colic. Second, CT has proven to be a superior test for detecting and characterizing renal parenchymal masses and third, CT urography ha...

Ureteritis cystica is an uncommon cause of acute renal pain. The aetiology remains unclear and the diagnosis may be difficult to establish. We report the case of a 29 year old woman with a history of repeated urinary tract infections presenting with acute renal colic in the absence of lithiasis. We review the diagnostic tools available to make the diagnosis and the recent pertinent literature.

Renal colic is a common presentation, with patients complaining of moderate to severe flank pain with or without hematuria. Unenhanced low-dose multidetector CT (MDCT) is recognized as the most accurate examination technique. It shows the precise location and size of renal stones within the kidney, the ureters, and the bladder. If the MDCT examination shows a ureteral stone <5 mm, the stone wil...

OBJECTIVES To investigate the situations in which ureteral double-J stent should be used after retrograde intrarenal surgery (RIRS). PATIENTS AND METHODS Patients with no ureteral double-J stent after RIRS constituted Group 1, and those with double- J stent after RIRS constituted Group 2. Patients' age and gender, renal stone characteristics (location and dimension), stone-free status, VAS sc...

Background Acute flank pain and hematuria is a common ED presenting symptom, Bedside emergency renal US performed and interpreted by EPs with limited training and experience is increasing in use and gaining acceptance. Emergency renal ultrasonography concentrates on the focused presence or absence of hydronephrosis as is often seen in patients with acute flank pain secondary to renal colic. ED ...

N Engl J Med 2004;350:684-93. Copyright © 2004 Massachusetts Medical Society. A 39-year-old man reports an eight-hour history of colicky pain in the right lower quadrant radiating to the tip of his penis. He had previously had a kidney stone, which passed spontaneously. Physical examination shows that he is in distress, is afebrile, and has tenderness of the right costovertebral angle and lower...

fasting during the month of ramadan is one of the five pillars of islam. during this month, adult muslims are obligated to refrain from eating and drinking from dawn to dusk. although based on islamic principles patients are exempted from fasting, each year, and many muslim patients express their willingness to observe the fast in ramadan month to respect the cultural customs. there are concern...