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Vol. 57. Issue 2.
Pages 113-122 (March - April 2015)
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Vol. 57. Issue 2.
Pages 113-122 (March - April 2015)
Update in Radiology
DOI: 10.1016/j.rxeng.2014.11.001
Diagnostic management of renal colic
Manejo diagnóstico del cólico renal
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C. Nicolaua,
Corresponding author
cnicolau@clinic.cat

Corresponding author.
, R. Salvadora, J.M. Artigasb
a Servicio de Radiología, Hospital Clínic de Barcelona, Barcelona, Spain
b Servicio de Radiología, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Table 1. Urgent indications for image modalities in patients with acute renal coil.
Table 2. Differential diagnosis of reno-ureteral colic.
Table 3. Lithiasic composition through DECT.
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Abstract

Renal colic is a common reason for presentation to emergency departments, and imaging has become fundamental for the diagnosis and clinical management of this condition. Ultrasonography and particularly noncontrast computed tomography have good diagnostic performance in diagnosing renal colic. Radiologic management will depend on the tools available at the center and on the characteristics of the patient. It is essential to use computed tomography techniques that minimize radiation and to use alternatives like ultrasonography in pregnant patients and children. In this article, we review the epidemiology, clinical and radiologic presentations, and clinical management of ureteral lithiasis.

Keywords:
Renal colic
Ultrasonography
Noncontrast computed tomography
Low dose computed tomography
Resumen

El cólico renal es un motivo frecuente de consulta en los Servicios de Urgencias y la imagen diagnóstica se ha convertido en una herramienta fundamental del diagnóstico y manejo clínico. La ecografía y, fundamentalmente, la tomografía computarizada sin contraste permiten diagnosticarlo con un rendimiento elevado. El manejo radiológico va a depender de la disponibilidad del centro y de las características de la población. Es imprescindible usar técnicas de baja dosis de radiación en la tomografía computarizada y técnicas alternativas como la ecografía en embarazadas y niños. En este artículo hacemos una revisión epidemiológica, clínica, radiológica y del manejo clínico de la litiasis ureteral.

Palabras clave:
Cólico renal
Ecografía
Tomografía computarizada sin contraste
Tomografía computarizada baja dosis

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