WordNet

acute abdominal pain (especially in infants) (同)intestinal colic, gripes, griping
a pass between mountain peaks (同)gap

PrepTutorEJDIC

腹痛,さしこみ
(山脈の)鞍部(あんぶ),山あい
腎臓の

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/06/26 18:19:38」(JST)

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Localization of pain caused by kidney stones.

Renal colic is a type of abdominal pain commonly caused by kidney stones.

Presentation

Renal colic typically begins in the abdomen and often radiates to the hypochondrium (the part of the anterior abdominal wall below the costal margins) or the groin. It is typically colicky (comes in waves) due to ureteric peristalsis, but may be constant. It is often described as being among the most unpleasant of all sensations (being worse even than childbirth).

Although this condition can be quite painful, kidney stones usually cause no permanent physical damage. The experience is said to be traumatizing due to pain, and the experience of passing blood, blood clots, and pieces of the stone. Depending on the sufferer's situation, nothing more than imbibing significant amounts of water may be called for; in other instances, surgery may be needed. Preventive treatment can be instituted to minimize the likelihood of recurrence.^[1]

Prognosis and treatment

Most small stones are passed spontaneously and only pain management is required. Non-steroidal anti-inflammatory drugs such as diclofenac^[2] and antispasmodics like butylscopolamine can be used. Although morphine may be administered to assist with pain management, it is often not recommended as morphine raises ureteral pressure, worsening the condition. There is typically no antalgic position for the patient (lying down on the non-aching side and applying a hot bottle or towel to the area affected may help). If the pain is not too intense, a more speedy release of the stones may be achieved by walking. Larger stones may require surgical intervention for their removal, such as percutaneous nephrolithotomy.

References

^ "eMedicine - Nephrolithiasis: Acute Renal Colic: Article by Stephen W Leslie". Retrieved 2008-01-01.
^ Teece, DD (2006). "Intravenous NSAID's in the management of renal colic: Article by Debasis Das". Emergency Medicine Journal : EMJ 23 (3): 224–225. doi:10.1136/emj.2005.034330. PMC 2464448.

UpToDate Contents

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1. 成人における腎結石症が疑われた場合の診断および急性期マネージメント diagnosis and acute management of suspected nephrolithiasis in adults
2. 尿路閉塞および水腎症の臨床症状および診断 clinical manifestations and diagnosis of urinary tract obstruction and hydronephrosis
3. 小児における腎結石症の急性期マネージメント acute management of nephrolithiasis in children
4. 小児における腎結石症の臨床的特徴および診断 clinical features and diagnosis of nephrolithiasis in children
5. 成人における合併症のない胆石症 uncomplicated gallstone disease in adults

English Journal

Bedside ultrasound and the assessment of renal colic: a review.

Dalziel PJ, Noble VE.SourceEmergency Medicine Ultrasound Division, Massachusetts General Hospital, Suite 140, 5 Emerson Place, Boston, MA 02114, USA; drpjdalziel@gmail.com.
Emergency medicine journal : EMJ.Emerg Med J.2013 Jan;30(1):3-8. doi: 10.1136/emermed-2012-201375. Epub 2012 Jun 8.
Renal colic is a common emergency department (ED) presentation. The use of CT in the diagnosis of renal colic has increased over the past two decades and is now the most common imaging modality used in many institutions. However, with growing concerns about cumulative radiation exposure, increasing
PMID 22685250

The role of microperc in the treatment of symptomatic lower pole renal calculi.

Tepeler A, Armagan A, Sancaktutar AA, Silay MS, Penbegul N, Akman T, Hatipoglu NK, Ersoz C, Erdem MR, Akcay M.Source1 Department of Urology, Faculty of Medicine, Bezmialem Vakif University , Istanbul, Turkey .
Journal of endourology / Endourological Society.J Endourol.2013 Jan;27(1):13-8. doi: 10.1089/end.2012.0422. Epub 2012 Oct 25.
Abstract Background and Purpose: The treatment of symptomatic lower pole (LP) calculi poses a challenge because of lower clearance rates. We present our experience with microperc in the treatment of LP renal calculi. Patients and Methods: We retrospectively evaluated the symptomatic patients wit
PMID 22873714

Japanese Journal

尿管結石,疝痛発作 (特集泌尿器科救急疾患 : あなたの対処は間違っていませんか?)

志賀直樹
臨床泌尿器科 67(10), 753-757, 2013-09
NAID 40019804079

術前TAEが有効であった非機能性巨大副腎皮質癌の1例

湊のり子,山口唯一郎,古賀実 [他],菅尾英木
泌尿器科紀要 58(4), 193-196, 2012-04
… Preoperative abdominal angiography revealed that the tumor was supplied blood by the left adrenal artery, left renal artery through left renal upper segment, splenicartery, pancreas tail artery, and middle colic artery. …
NAID 40019237041

出血性ショックを伴った腹部内臓動脈瘤破裂症例における治療法の検討

澤野宏隆,重光胤明,甲斐達朗
脈管学 52(March), 147-154, 2012
要　旨：出血性ショックを伴った腹部内臓動脈瘤破裂12症例の治療について検討した。破裂動脈瘤部位は膵十二指腸動脈6例，結腸動脈2例，脾動脈2例，腎動脈1例，胃十二指腸動脈1例であった。輸液や輸血を含めた初期治療を行い，全例で造影CTと血管造影を施行した。治療はIVR(interventional radiology)を10例で，緊急開腹手術を2例で施行して全例を救命しえた。IVRは低侵襲でショック症 …
NAID 130001922091