A Fatal Diagnosis in Emergency Department: Renal Colic

Year 2015, , 92 - 96, 07.09.2015

Egemen Küçük

https://doi.org/10.5505/sakaryamj.2015.26023

Abstract

Aortic dissection is a rare, fatal disease that can mimic some of the different diseases. More common seen in males and 50-70 years of age. Hypertension is the most important factor in the etiology. Usually, predatory, severe and sudden onset pain is described. Back and flank pain, can be seen depending on the malperfusion in distal dissections. This is similar to the pain of renal colic in character, is defined as serious, intermittent flank pain. Aortic dissection, located in the differential diagnosis of renal colic as a fatal disease. Emergency physicians, should be careful, when placing the diagnosis of renal colic especially in elderly patients, underlying aortic dissection a deadly disease, should not be ignored.

Keywords

Aortic dissection. Renal colic, Pain

Acil Servis'te Ölümcül Bir Tanı: Renal Kolik

Abstract

Aort diseksiyonu, nadir görülen, bazı farklı hastalıkları taklit edebilen ölümcül bir hastalıktır. Daha çok erkeklerde, 50-70 yaş aralığında görülür. Hipertansiyon, etyolojisinde en önemli faktördür. Çoğunlukla yırtıcı vasıfta, ani ve şiddetli ağrı tariflenir. Distal diseksiyonlarda, malperfüzyona sonucu böbrek iskemileri, buna bağlı bel ve flank ağrısı görülebilir. Bu ağrıya benzer karakterdeki renal kolik, ciddi, aralıklı flank ağrısı olarak tanımlanır. Aort diseksiyonu, renal kolik ayırıcı tanısında yer alan ölümcül bir hastalıktır. Acil hekimleri, özellikle ileri yaştaki hastalara renal kolik tanısı koyarken dikkatli olmalı, altta yatan aort diseksiyonu gibi ölümcül bir hastalığı göz ardı etmemelidirler.

Keywords

Aort diseksiyonu, Renal kolik, Ağrı

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