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Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 414
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DOI: https://doi.org/10.55046/vjrnm.17.361.2014
Issue
No. 17 (2014)
Section
Scientific research
How to Cite
Bui, V. L., & Le, T. L. (2022). Management of renal colic. Vietnamese Journal of Radiology and Nuclear Medicine, 17, 50-57. https://doi.org/10.55046/vjrnm.17.361.2014

Management of renal colic

Bui Van Lenh1, Le Tuan Linh1,
1 Department of Diagnostic Imaging - Ha Noi medical university Hanoi Medical University Hospital

Main Article Content

Abstract

SUMMARY


Renal colic is a frequently situation seen in emergency. The pathophysiological mechanisms of pain in acute renal colic is due
to increased intrapyelic pressure by ureteral obstruction with renal synthesis of prostaglandin E2. Intrarenal hemodynamic changes by increase the blood’s flow. The pharmacological treatment base on these pathophysiologicals mechanisms.
The diagnostic and radiological mission are relatively well codified in all emergency center. For the simple renal colic, the radiograph of the abdomen without preparation can identify the calcifications of stones on urinary tract. The ultrasound can detect the presence of stones in the kidney and in the urinary tract. In somes cases, ultrasound find only indirect sign obstruction of which suspect the migration of the renal stones into urinary tract. For complex colic, considering the sensitivity, the dose of radiation, the cost and quality of the information obtained, the scanner is the test of choice of the initial diagnostic tool.

Article Details

Keywords

Renal colic, ureteral obstruction, simple renal colic, complex colic, radiograph, ultrasound, scanner

References

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