Acil Serviste Renal Kolik Tanı ve Tedavisi

Orhun Sinanoğlu; Sinan Ekici; Mahmure Uraz; Rahmi Çubuk

Diagnosis and Management of Renal Colic in Emergency Department

Yıl 2010, Cilt: 2 Sayı: 2, 55 - 58, 01.08.2010

Orhun Sinanoğlu Sinan Ekici Mahmure Uraz Rahmi Çubuk

Öz

Renal colic RC is a frequent disease in emergency room. The most common cause of RC is ureteral stone. Primary care physician play the initial role in the management of urolithiasis. This article reviews the current recommendations in terms of renal colic emergency management: biological assessment, imaging, pain relief and specific treatment. The majority of renal colic patients only needs strong analgesic treatment and an urologic outpatient follow-up. Care must be taken considering diagnostic tools in case of complicated RC as it requires urgent treatment in urology department.

Kaynakça

)Valerio M, Doerfler A, Chollet Y, Schreyer N, Guyot S, Jichlinski P.: Emergency management of renal colic Rev Med Suisse. 2009;5:2457-2461.
)Sierakowski R, Finlayson B, Landes RR, Finlayson CD, Si erakowski N.: The frequency of urolithiasis in hospital discharge diagnoses in the United States Invest Urol 1978;15:438-441.
)Johnson CM, Wilson DM, O'Fallon WM, Malek RS, Kurland LT.: Renal stone epidemiology: a 25 year study in Rochester, MN. Kidney Int. 1979;16: 624-631.
)Menon M, Resnick MI.: Urinary lithiasis etiology, diag nosis and medical management. In : Campbell MF, Walsh PC, Retik AB, eds Campbell’s Urology. 8th ed. Philadelphia, Pa. :Saunders, 2002.
)Worster A, Preyra I, Weaver B, Haines T.: The accurancy of noncontrast helical computed tomography versus in- travenous pyelography in the diagnosis of suspected acute urolithiasis. Ann Emerg Med 2002 ;40:280-286.
)Katz DS, Scheer M, Lumerman JH, Mellinger BC, Still man CA, Lane MJ.: Alternative or Additional diagnoses on unenhanced helical computed tomography for sus- pected renal colic: experience with 1000 consecutive examinations Urology 2000;56:53-57.
)Denton ER, Mackenzie A, Greenwell T, Popert R, Ran- kin SC.: Unenhanced helical CT for renal colic: is the ra- diation dose justifiable? Clin Radiol 1999;54:444-447.
)Levine JA, Neitlich J, Verga M, Dalrymple N, Smith RC.: Ureteral calculi in patient with flank pain: correlation of plain radiography with unenhanced helical CT. Radio- logy 1997;204:27-31.
)Roy C.: Imaging of urinary lithiasis: “all in one”. Ann Urol (Paris) 2006;40:69-92.
)Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck AC, Gallucci M, Knoll T, Lingeman JE, Nakada SY, Pe- arle MS, Sarica K, Türk C, Wolf JS Jr.: 2007 Guideline for the management of ureteral calculi. American Uro- logical Association Education and Research, Inc; Euro- pean Association of Urology.
)Cordell WH, Larson TA, Lingeman JE et al.: Indometha cin suppositories versus intravenously titrated morphine for the treatment of ureteral colic. Ann Emerg Med 1994;23:262-269.
)Holdgate A, Pollock T.: Systematic review of the relati ve efficacy of non-steroidal anti-inflammatory drugs and opioids in the treatment of acute renal colic. BMJ 2004 Jun 12;328(7453):1401. Epub 2004 Jun 3.
)Parsons JK, Hergan LA, Sakamoto K, Lakin C J.: Efficacy of alpha-Blockers for the Treatment of Ureteral Stones. Urol. 2007;177:983-987.