Reference : COMMENT JE TRAITE ... une colique néphrétique.
Scientific journals : Article
Human health sciences : Urology & nephrology
http://hdl.handle.net/2268/200257
COMMENT JE TRAITE ... une colique néphrétique.
French
[en] How I TREAT... A RENAL COLIC
Lavergne, O. [CHU de Liège > Urologie > > >]
Bonnet, Quentin [CHU de Liège > Urologie > > >]
Thomas, Alexandre [CHU de Liège > Urologie > > >]
Waltregny, David mailto [Université de Liège > Département des sciences cliniques > Urologie >]
2016
Revue Médicale de Liège
71
5
220-6
Yes (verified by ORBi)
International
0370-629X
2566-1566
Belgium
[fr] Colique néphrétique ; Pyélonéphrite obstructive
[en] Renal colic (RC) represents nearly 2% of emergency department admissions. RC is defined by the occurrence of back pain which may radiate towards the abdomen and external genitals. In adults, the obstruction is caused by a urinary stone in 80% of cases. The 20 % of non-stone related RCs are due either to an intrinsic obstruction (pyeloureteral junction stenosis, ureteral tumor, ...) or an extrinsic compression (pelvic tumor, lymphadenopathy ...). In over 90% of cases, an RC does not require hospitalization and is treated with medication. In contrast, complicated renal colic (CRC) requires hospitalization with specialized care. Obstructive pyelonephritis (OPN) is a form of CRC and the diagnosis should be considered in a clinical presentation of "renal colic" with acute pyelonephritis. This is a true emergency requiring surgical drainage of the upper urinary tract upstream of the obstacle, as well as antibiotic therapy. It must be kept in mind that some clinical presentations may be atypical, especially in the elderly, which can delay the diagnosis and, thus, the management. The gold standard for diagnosis is CT urography.
http://hdl.handle.net/2268/200257

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