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Renal colic—which typically manifests as paroxysmal waves of intense flank pain often radiating to the groin—results from ureteral peristalsis during passage of, or obstruction by, renal calculi. It is commonly encountered in the emergency department (ED) in patients of all age groups. In fact, the incidence of renal colic continues to increase, and currently accounts for nearly 2 % of all adult visits to the ED in the United States. The initial steps in assessing such patients beyond a good history, physical examination, and urinalysis involve the utilization of imaging. In this review, we examine the current trends and controversies in the imaging of patients who present with renal colic. We also discuss the factors affecting the selection of imaging modalities, and highlight the emerging role of ultrasound as a safe and reliable option in patients with suspected urolithiasis.
Current Radiology Reports – Springer Journals
Published: Mar 29, 2016
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