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...

Acute flank pain is a frequent clinical presentation encountered in emergency departments, and a work-up for obstructive urolithiasis in this setting is a common indication for computed tomography (CT). However, imaging alternatives to CT for the evaluation of renal colic are warranted in some clinical situations, such as younger patients, pregnancy, patients that have undergone multiple prior ...

Renal infarction is a rare cause of acute flank and abdominal pain. It usually occurs in patients with cardiac disease or a history associated with a high risk of thromboembolism. Malignancy is a well known hypercoagulable state. We herein report the first case of colon adenocarcinoma complicated with renal infarction, presenting with flank pain and hematuria mimicking renal colic. The clinical...

each year, over a billion muslims fast worldwide during the month of ramadan.  through this religious practice, not only will one have spiritual growth, but can improve his/her diet, which is of pivotal importance in this month. conversely, the available evidence regarding the health benefits of ramadan fasting is scarce and highly contentious. although islam exempts patients from fasting, many...

NSAIDs provide optimal analgesia in renal colic due to the reduction in glomerular filtration and renal pelvic pressure, ureteric peristalsis and ureteric oedema. Prevention of glomerular afferent arteriolar vasodilatation renders these patients at risk of renal impairment. NSAIDs have the additional benefit of reducing the number of new colic episodes and preventing subsequent readmission to h...

Renal colic is a common emergency department (ED) presentation. The use of CT in the diagnosis of renal colic has increased over the past two decades and is now the most common imaging modality used in many institutions. However, with growing concerns about cumulative radiation exposure, increasing healthcare costs and patient flow in EDs, alternative approaches may need to be considered. Point...