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Renal colic

MedGen UID:
57511
•Concept ID:
C0152169
•
Sign or Symptom
Synonyms: Acute Renal Colic; Acute Renal Colics; Colic, Acute Renal; Colic, Renal; Colic, Ureteral; Colics, Acute Renal; Colics, Renal; Colics, Ureteral; Renal Colic; Renal Colic, Acute; Renal Colics; Renal Colics, Acute; Ureteral Colic; Ureteral Colics
SNOMED CT: Renal colic (7093002); Ureteric colic (17329003)

Definition

Paroxysmal and severe flank pain radiating to the inguinal area. It is caused by the passage of a kidney stone through the ureter. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRenal colic

Professional guidelines

PubMed

An update on management of renal colic.
Thia I, Saluja M
Aust J Gen Pract 2021 Jul;50(7):445-449. doi: 10.31128/AJGP-11-20-5751. PMID: 34189545
Kidney Stones: Treatment and Prevention.
Fontenelle LF, Sarti TD
Am Fam Physician 2019 Apr 15;99(8):490-496. PMID: 30990297
EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis.
Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T
Eur Urol 2016 Mar;69(3):468-74. Epub 2015 Aug 28 doi: 10.1016/j.eururo.2015.07.040. PMID: 26318710

Recent clinical studies

Etiology

Effect of Adjunctive Acupuncture on Pain Relief Among Emergency Department Patients With Acute Renal Colic Due to Urolithiasis: A Randomized Clinical Trial.
Tu JF, Cao Y, Wang LQ, Shi GX, Jia LC, Liu BL, Yao WH, Pei XL, Cao Y, Li HW, Yan SY, Yang JW, Qu ZC, Liu CZ
JAMA Netw Open 2022 Aug 1;5(8):e2225735. doi: 10.1001/jamanetworkopen.2022.25735. PMID: 35943743Free PMC Article
A Systematic Review and Meta-analysis Comparing the Efficacy of Nonsteroidal Anti-inflammatory Drugs, Opioids, and Paracetamol in the Treatment of Acute Renal Colic.
Pathan SA, Mitra B, Cameron PA
Eur Urol 2018 Apr;73(4):583-595. Epub 2017 Nov 22 doi: 10.1016/j.eururo.2017.11.001. PMID: 29174580
Etiology, diagnosis and treatment of renal colic during pregnancy.
Grasso AA, Cozzi G
Urologia 2014 Jan-Mar;81(1):12-5. Epub 2014 Feb 13 doi: 10.5301/urologia.5000048. PMID: 24557816
Management of renal colic.
Bultitude M, Rees J
BMJ 2012 Aug 29;345:e5499. doi: 10.1136/bmj.e5499. PMID: 22932919
Nephrolithiasis.
Manthey DE, Teichman J
Emerg Med Clin North Am 2001 Aug;19(3):633-54, viii. doi: 10.1016/s0733-8627(05)70207-8. PMID: 11554279

Diagnosis

An update on management of renal colic.
Thia I, Saluja M
Aust J Gen Pract 2021 Jul;50(7):445-449. doi: 10.31128/AJGP-11-20-5751. PMID: 34189545
Kidney and Ureteral Stones.
Corbo J, Wang J
Emerg Med Clin North Am 2019 Nov;37(4):637-648. Epub 2019 Aug 19 doi: 10.1016/j.emc.2019.07.004. PMID: 31563199
Clinician-performed abdominal sonography.
Dickman E, Tessaro MO, Arroyo AC, Haines LE, Marshall JP
Eur J Trauma Emerg Surg 2015 Oct;41(5):481-92. Epub 2015 Mar 21 doi: 10.1007/s00068-015-0508-x. PMID: 26038027
Urolithiasis and pregnancy.
Korkes F, Rauen EC, Heilberg IP
J Bras Nefrol 2014 Jul-Sep;36(3):389-95. doi: 10.5935/0101-2800.20140055. PMID: 25317623
Diagnostic approach and management of acute abdominal pain.
Abdullah M, Firmansyah MA
Acta Med Indones 2012 Oct;44(4):344-50. PMID: 23314978

Therapy

Effect of Adjunctive Acupuncture on Pain Relief Among Emergency Department Patients With Acute Renal Colic Due to Urolithiasis: A Randomized Clinical Trial.
Tu JF, Cao Y, Wang LQ, Shi GX, Jia LC, Liu BL, Yao WH, Pei XL, Cao Y, Li HW, Yan SY, Yang JW, Qu ZC, Liu CZ
JAMA Netw Open 2022 Aug 1;5(8):e2225735. doi: 10.1001/jamanetworkopen.2022.25735. PMID: 35943743Free PMC Article
Intravenous Lidocaine for Acute Pain: A Systematic Review.
Masic D, Liang E, Long C, Sterk EJ, Barbas B, Rech MA
Pharmacotherapy 2018 Dec;38(12):1250-1259. Epub 2018 Nov 9 doi: 10.1002/phar.2189. PMID: 30303542
Medical treatment of urinary stones.
Skolarikos A
Curr Opin Urol 2018 Sep;28(5):403-407. doi: 10.1097/MOU.0000000000000523. PMID: 29939860
A Systematic Review and Meta-analysis Comparing the Efficacy of Nonsteroidal Anti-inflammatory Drugs, Opioids, and Paracetamol in the Treatment of Acute Renal Colic.
Pathan SA, Mitra B, Cameron PA
Eur Urol 2018 Apr;73(4):583-595. Epub 2017 Nov 22 doi: 10.1016/j.eururo.2017.11.001. PMID: 29174580
The analgesic action of desmopressin in renal colic.
Kapila V, Kapila AK, Tailly T, Rappe B, Juul KV, Everaert K
Acta Clin Belg 2017 Jun;72(3):179-185. Epub 2016 Sep 23 doi: 10.1080/17843286.2016.1230569. PMID: 27658643

Prognosis

Renal colic: current protocols for emergency presentations.
Leveridge M, D'Arcy FT, O'Kane D, Ischia JJ, Webb DR, Bolton DM, Lawrentschuk N
Eur J Emerg Med 2016 Feb;23(1):2-7. doi: 10.1097/MEJ.0000000000000324. PMID: 26367338
EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis.
Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T
Eur Urol 2016 Mar;69(3):468-74. Epub 2015 Aug 28 doi: 10.1016/j.eururo.2015.07.040. PMID: 26318710
Etiology, diagnosis and treatment of renal colic during pregnancy.
Grasso AA, Cozzi G
Urologia 2014 Jan-Mar;81(1):12-5. Epub 2014 Feb 13 doi: 10.5301/urologia.5000048. PMID: 24557816
Management of renal colic.
Bultitude M, Rees J
BMJ 2012 Aug 29;345:e5499. doi: 10.1136/bmj.e5499. PMID: 22932919
Nephrolithiasis.
Manthey DE, Teichman J
Emerg Med Clin North Am 2001 Aug;19(3):633-54, viii. doi: 10.1016/s0733-8627(05)70207-8. PMID: 11554279

Clinical prediction guides

Effect of Adjunctive Acupuncture on Pain Relief Among Emergency Department Patients With Acute Renal Colic Due to Urolithiasis: A Randomized Clinical Trial.
Tu JF, Cao Y, Wang LQ, Shi GX, Jia LC, Liu BL, Yao WH, Pei XL, Cao Y, Li HW, Yan SY, Yang JW, Qu ZC, Liu CZ
JAMA Netw Open 2022 Aug 1;5(8):e2225735. doi: 10.1001/jamanetworkopen.2022.25735. PMID: 35943743Free PMC Article
A Systematic Review and Meta-analysis Comparing the Efficacy of Nonsteroidal Anti-inflammatory Drugs, Opioids, and Paracetamol in the Treatment of Acute Renal Colic.
Pathan SA, Mitra B, Cameron PA
Eur Urol 2018 Apr;73(4):583-595. Epub 2017 Nov 22 doi: 10.1016/j.eururo.2017.11.001. PMID: 29174580
Imaging of flank pain: readdressing state-of-the-art.
Jha P, Bentley B, Behr S, Yee J, Zagoria R
Emerg Radiol 2017 Feb;24(1):81-86. Epub 2016 Sep 10 doi: 10.1007/s10140-016-1443-9. PMID: 27614885
EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis.
Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T
Eur Urol 2016 Mar;69(3):468-74. Epub 2015 Aug 28 doi: 10.1016/j.eururo.2015.07.040. PMID: 26318710
Kidney stones.
Tseng TY, Preminger GM
BMJ Clin Evid 2011 Nov 10;2011 PMID: 22075544Free PMC Article

Recent systematic reviews

Imaging in Suspected Renal Colic: Systematic Review of the Literature and Multispecialty Consensus.
Moore CL, Carpenter CR, Heilbrun ME, Klauer K, Krambeck AC, Moreno C, Remer EM, Scales C, Shaw MM, Sternberg KM
J Am Coll Radiol 2019 Sep;16(9 Pt A):1132-1143. Epub 2019 Aug 8 doi: 10.1016/j.jacr.2019.04.004. PMID: 31402228
Intravenous Lidocaine for Acute Pain: A Systematic Review.
Masic D, Liang E, Long C, Sterk EJ, Barbas B, Rech MA
Pharmacotherapy 2018 Dec;38(12):1250-1259. Epub 2018 Nov 9 doi: 10.1002/phar.2189. PMID: 30303542
A Systematic Review and Meta-analysis Comparing the Efficacy of Nonsteroidal Anti-inflammatory Drugs, Opioids, and Paracetamol in the Treatment of Acute Renal Colic.
Pathan SA, Mitra B, Cameron PA
Eur Urol 2018 Apr;73(4):583-595. Epub 2017 Nov 22 doi: 10.1016/j.eururo.2017.11.001. PMID: 29174580
Kidney stones.
Tseng TY, Preminger GM
BMJ Clin Evid 2011 Nov 10;2011 PMID: 22075544Free PMC Article
Kidney stones.
Dasgupta R, Glass J, Olsburgh J
BMJ Clin Evid 2009 Apr 21;2009 PMID: 21565128Free PMC Article

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