La colique néphrétique aux urgences

Renal colic represents 1 to 2% of the emergency department admission. Whatever the cause of obstruction, main objective is to begin a prompt and suitable analgesia. About 95% of renal colic are non-complicated forms and are possibly at home medically treated but an urologic follow-up is necessary. An abdomino-pelvic CT scan eventually completed by injection has to be performed immediately in case of complicated renal colic or doubtful of diagnosis. In case of fever or sepsis signs, hyperalgic colic, solitary kidney, pregnancy or comorbidities, hospitalisation and urologic advice are necessary to determinate upper tract urinary derivation modalities (double J stent or nephrostomy tube). This article describes renal colic and its management in emergency department.