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...

objective: to identify the non-obstetric causes and presentation of acute abdomen among pregnant women. materials and methods: this was a cross sectional hospital-based study among 128 pregnant women by face to face interview using a semi-structured questionnaire. this study was conducted at the gynecology & obstetric ward of 250 bed general hospital, noakhali, bangladesh, from january to augus...

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...

double-j (dj) stents are the main tools used in urological practice for prevention and treatment of obstruction. stenting is also mandatory after complicated ureteroscopy or tul (transureteral lithotripsy). known complications are upper migration of dj stents into the kidney and lower migration to the bladder. in a man with an impacted right lower ureteral stone, a dj stent was placed because t...

OBJECTIVES To determine the utility of hematuria testing in a large series of patients with suspected renal colic using unenhanced helical computed tomography (CT) as the reference standard. METHODS A retrospective review of the CT reports of all patients who underwent unenhanced helical CT for suspected renal colic at one institution during a 3.5-year period and who also underwent a formal m...

BACKGROUND Urolithiasis affects an estimated 5% of the population and the lifetime risk of passing a stone in the urinary tract is estimated to be 8-10%. Urinary calculus formation is highly variable and while certain risk factors such as age, gender, seasonality, anatomic abnormality, and metabolic diseases have been identified, not much is known regarding the association of environmental fact...

BACKGROUND Although the application of ureteroscopy in the treatment of ureteral calculi during pregnancy has been on the rise, for persistent renal colic patients without ultrasound-detected ureteral calculi, it may represent a clinical dilemma due to the potential risks for both mother and fetus. OBJECTIVE The aim of the present study is to present our experience with the application of the...