Articles: colic.
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Randomized Controlled Trial Comparative Study
Prospective randomized trial using cost-utility analysis of early versus delayed laparoscopic cholecystectomy for acute gallbladder disease.
This randomized controlled trial compared the cost-utility of early laparoscopic cholecystectomy with that for conventional management of newly diagnosed acute gallbladder disease. ⋯ In this pragmatic trial, the cost-utilities of both the early and conventional approaches were similar, but the incremental cost per additional QALY gained favoured conventional management.
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Multicenter Study
Infantile colic, prolonged crying and maternal postnatal depression.
To study if infant crying is associated with maternal postnatal depression. ⋯ Both infantile colic and prolonged crying were associated with high maternal depression scores. Most noteworthy, infantile colic at 2 months of age was associated with high maternal depression scores 4 months later.
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Case Reports
Renal colic as the first symptom of acute renal vein thrombosis, resulting in the diagnosis of nephrotic syndrome.
Renal vein thrombosis is a well-known complication of nephrotic syndrome, but rarely its first or only symptom. We describe a 26-year-old patient presenting with flank pain suggestive of renal colic. A computed tomography scan showed acute renal vein thrombosis, the only sign of a later diagnosed nephrotic syndrome. This is a rare presentation of a renal vein thrombosis caused by nephrotic syndrome, and easily misdiagnosed as renal calculi especially in young and otherwise asymptomatic patients.
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The Journal of urology · Jul 2009
Ureteral stone location at emergency room presentation with colic.
It is thought that the 3 narrowest points of the ureter are the ureteropelvic junction, the point where the ureter crosses anterior to the iliac vessels and the ureterovesical junction. Textbooks describe these 3 sites as the most likely places for ureteral stones to lodge. We defined the stone position in the ureter when patients first present to the emergency department with colic. ⋯ Proximal ureteral stones were larger in axial and coronal diameter than distal ureteral stones. At emergency department presentation for colic most stones were at the ureterovesical junction and in the proximal ureter between the ureteropelvic junction and the iliac vessels. A few stones were at the ureteropelvic junction and only 1 lodged at the level where the ureter crosses anterior to the iliac vessels, despite the literature stating that these locations are 2 of the 3 most likely places for stones to become lodged.