BACKGROUND Renal colic is typically characterized by the sudden onset of severe pain radiating from the flank to the groin and its acute management in emergency departments essentially aims at rapid pain relief. Spasmofen(®) is a brand of Amriya Pharmaceutical Industries in the form of rectal suppositories containing ketoprofen 100 mg and hyoscine butylbromide 10 mg. This combination is intende...

INTRODUCTION This study was designed to compare the analgesic efficacy of sublingual (SL) buprenorphine and intravenous (IV) ketorolac for renal colic pain relief. METHODS The present study was carried out as a double-blind, double-dummy randomized clinical trial in patients diagnosed with acute renal colic attending the emergency department. The study subjects were 63 patients with confirmed...

A new method of acute urography suitable for use in any general hospital is described. It takes only 30 minutes and can be performed by the duty radiographer. The method has proved invaluable in the diagnosis and differentiation of renal colic. With radiation safeguards, it may be of value in pregnancy. It has been found useful in renal trauma and in the differential diagnosis of haematuria.

Renal cell carcinoma is the second most common urological malignancy and it runs a highly variable clinical course. We describe a case of metastatic renal cell carcinoma in a 50-year-old lady with metastasis to the ampulla of Vater, clinically masquerading as cholelithiasis and biliary colic. The clinical, radiographic and endoscopic findings are presented. Ampullary metastases are rare, and pr...

Retained ureteral stents in patients lost to follow-up present a challenge to urologists. Patients may present with recurrent flank pain, pyelonephritis, stent migration or encrustation, and ureteral obstruction, with resultant renal failure. Rarely, a long-indwelling period may result in stent fragmentation. Herein, we present a case of a fractured retained ureteral stent noted in a patient lo...